CENTRAL VERMONT MEDICAL CENTER INC NPI 1023028784

NPI Information

NPI: 1023028784
Provider Name: CENTRAL VERMONT MEDICAL CENTER INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 47D0091573

Address:
130 FISHER RD
BERLIN, VT
ZIP 05602
Phone: (802) 371-4100
Get Directions

CENTRAL VERMONT MEDICAL CENTER INC is a family medicine in Berlin, VT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTRAL VERMONT MEDICAL CENTER INC NPI is 1023028784. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

130 FISHER RD
BERLIN, VT
ZIP 05602-516
Phone: (802) 371-4100
Fax: (802) 371-4488

The provider's authorized official is Cheyenne Holland .
The authorized official title is Cfo and has the following contact phone number (802) 371-4109.

The CLIA number assigned to this NPI record is 47D0091573 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 2/16/2024.

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
1	2084P0800X	Psychiatry & Neurology	Psychiatry			No
2	208000000X	Pediatrics				No
3	2084N0400X	Psychiatry & Neurology	Neurology		VERMONT	No
4	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry			No
5	208600000X	Surgery				No
6	208800000X	Urology				No
7	213E00000X	Podiatrist				No
8	207R00000X	Internal Medicine				No
9	207RC0000X	Internal Medicine	Cardiovascular Disease	762	VERMONT	No
10	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	762	VERMONT	No
11	207RR0500X	Internal Medicine	Rheumatology			No
12	207V00000X	Obstetrics & Gynecology				No
13	207X00000X	Orthopaedic Surgery				No
14	207Q00000X	Family Medicine				Yes

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
1	OVN3891	MEDICAID	VERMONT

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: 5/5/2024

NPI Synchronization or Removal

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