State Of Vermont
LBN: State Of Vermont
State Of Vermont is an health care organization with primary practice located at 108 Cherry St , Burlington VT 05401-4295. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Public Health, State or Local, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Public Health, State or Local is the primary health care specialty.
State Of Vermont can be contacted via phone (802) 863-7338, or through Burke, Patrick via phone (802) 863-7257.
Contact Information
Primary practice address
108 Cherry St
Burlington VT 05401-4295
Phone: (802) 863-7338
Fax: (802) 863-7635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Public Health, State or Local | 261QP0905X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1164542361 |
|---|---|
| LBN Legal business name | State Of Vermont |
| DBA Doing business as | |
| Authorized official | Burke, Patrick |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Jul 30th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164542361 | NPPES |
| Vermont | MEDICAID | 0005099 | |
| Vermont | MEDICAID | 1002536 |
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