Healthcare Provider Details

I. General information

NPI: 1932248309
Provider Name (Legal Business Name): BRATTLEBORO MUTUAL AID ASSOCIATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 MAPLE ST
BRATTLEBORO VT
05301-6551
US

IV. Provider business mailing address

80 MAPLE ST
BRATTLEBORO VT
05301-6551
US

V. Phone/Fax

Practice location:
  • Phone: 802-254-4977
  • Fax: 802-254-8842
Mailing address:
  • Phone: 802-254-4977
  • Fax: 802-254-8842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number StateVT

VIII. Authorized Official

Name: MR. JAMES BRADFORD SUTTON
Title or Position: ADMINISTRATOR
Credential:
Phone: 802-254-4977