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NPI Code Detail

MEDICARE: VERMONT CATHOLIC CHARITIES, INC.

MEDICARE: VERMONT CATHOLIC CHARITIES, 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
1311ZA0620XAdult Care Home Facility0155VT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952412017
Entity Type Code : Organization
Provider Name (Legal Business Name) : VERMONT CATHOLIC CHARITIES, INC.
Provider Business Mailing Address
First Line : 55 JOY DRIVE
Second Line :
City : SOUTH BURLINGTON
State : VT
Zip : 05403-0000
Country : US
Telephone Number : 802-658-6111
Fax Number : 802-860-0451
Provider Business Practice Location Address
First Line : 243 NORTH PROSPECT STREET
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-1609
Country : US
Telephone Number : 802-864-0263
Fax Number : 802-864-5640
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MRS. DENISE M PAYEA
Credential :
Telephone Number : 802-658-6111
Provider Enumeration Date : 08/31/2006
Last Update Date : 11/29/2011

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