Healthcare Provider Details

I. General information

NPI: 1437399094
Provider Name (Legal Business Name): BIO-MEDICAL APPLICATIONS OF NEW HAMPSHIRE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2009
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 HOSPITAL DR
SAINT JOHNSBURY VT
05819-6001
US

IV. Provider business mailing address

1080 HOSPITAL DR
SAINT JOHNSBURY VT
05819-6001
US

V. Phone/Fax

Practice location:
  • Phone: 802-751-8735
  • Fax: 802-748-8714
Mailing address:
  • Phone: 802-751-8735
  • Fax: 802-748-8714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BARRY L. BLANTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 781-699-9000