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GOODHEALTH P.C. NPI 1487602868

NPI Profile

NPI: 1487602868
Provider Name: GOODHEALTH P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
368 DORSET ST
SUITE 1
SOUTH BURLINGTON, VT
ZIP 05403
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Phone: (802) 860-1441

GOODHEALTH P.C. is a primary care cliniccenter in South Burlington, VT. GOODHEALTH P.C. NPI is 1487602868. The provider is registered as an organization entity type.

The provider's business location address is:

368 DORSET ST
SUITE 1
SOUTH BURLINGTON, VT
ZIP 05403-212
Phone: (802) 860-1441

The provider's authorized official is Mark Pitcher .
The authorized official title is Treasurer and has the following contact phone number (802) 860-1441.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 2/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical Laboratory47D1068228VERMONTNo
2261QP2300XClinic/CenterPrimary CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10VN2426MEDICAIDVERMONT
2VN2426MEDICARE PINVERMONT
3CB4933OTHERVERMONTRAIL ROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/9/2020

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