Healthcare Provider Details

I. General information

NPI: 1841234283
Provider Name (Legal Business Name): UNIVERSITY OF VERMONT MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 02/19/2024
Certification Date: 02/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 FAIRFIELD ST
ST ALBANS VT
05478-1728
US

IV. Provider business mailing address

111 COLCHESTER AVE
BURLINGTON VT
05401-1473
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-0000
  • Fax:
Mailing address:
  • Phone: 802-847-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number668
License Number StateVT

VIII. Authorized Official

Name: RICHARD J VINCENT
Title or Position: INTERIM CHIEF FINANCIAL OFFICER
Credential:
Phone: 802-847-2089