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NPI Code Detail

MEDICARE: BATTENKILL VALLEY HEALTH CENTER, INC

MEDICARE: BATTENKILL VALLEY HEALTH CENTER, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649942863
Entity Type Code : Organization
Provider Name (Legal Business Name) : BATTENKILL VALLEY HEALTH CENTER, INC
Provider Business Mailing Address
First Line : PO BOX 61
Second Line :
City : ARLINGTON
State : VT
Zip : 05250-0061
Country : US
Telephone Number : 802-430-7254
Fax Number :
Provider Business Practice Location Address
First Line : 18 CHURCH ST
Second Line :
City : ARLINGTON
State : VT
Zip : 05250-4457
Country : US
Telephone Number : 802-375-6566
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF PRACTICE ADMINISTRATION
Name : JENNIFER PETRY
Credential :
Telephone Number : 802-375-6566
Provider Enumeration Date : 10/05/2021
Last Update Date : 10/05/2021

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Directions to “BATTENKILL VALLEY HEALTH CENTER, INC ” Practice Location

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