ACTDLLC NPI 1508342114

NPI Information

ACTD,LLC is an ambulatory surgical clinic center in Colchester, VT. ACTD,LLC NPI is 1508342114. The provider is registered as an organization entity type.
The provider Is Doing Business As Green Mountain Surgery Center.

The provider's business location address is:

593 HERCULES DR
COLCHESTER, VT
ZIP 05446-544
Phone: (802) 488-5350

The provider's authorized official is Heather Bartlett .
The authorized official title is Clinical Director and has the following contact phone number (802) 488-5350.

The CLIA number assigned to this NPI record is 47D2152213 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2018 and was last updated on 7/5/2019.

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:

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