Healthcare Provider Details

I. General information

NPI: 1376835405
Provider Name (Legal Business Name): SPRINGFIELD MEDICAL CARE SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2011
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 MAIN ST
LUDLOW VT
05149-1106
US

IV. Provider business mailing address

PO BOX 710
SPRINGFIELD VT
05156-0710
US

V. Phone/Fax

Practice location:
  • Phone: 802-228-4446
  • Fax:
Mailing address:
  • Phone: 802-886-8950
  • Fax: 802-885-2030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOSHUA DUFRESNE
Title or Position: CEO
Credential:
Phone: 802-886-8961