Healthcare Provider Details
I. General information
NPI: 1316541436
Provider Name (Legal Business Name): ALPINE TELEHEALTH, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/30/2020
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
38 LATHAM CT
BURLINGTON VT
05401-1522
US
IV. Provider business mailing address
38 LATHAM CT
BURLINGTON VT
05401-1522
US
V. Phone/Fax
- Phone: 844-425-7835
- Fax: 833-216-0527
- Phone: 844-425-7835
- Fax: 833-216-0527
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
MARK
R.J.
MCGEE
Title or Position: PRESIDENT
Credential: MD
Phone: 844-425-7835