Healthcare Provider Details

I. General information

NPI: 1861690547
Provider Name (Legal Business Name): SOUTHWESTERN VERMONT HEALTH CARE ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 GRAND SUMMIT WAY
WEST DOVER VT
05356
US

IV. Provider business mailing address

PO BOX 1088
WEST DOVER VT
05356-1088
US

V. Phone/Fax

Practice location:
  • Phone: 802-464-9300
  • Fax: 802-464-9314
Mailing address:
  • Phone: 802-464-9300
  • Fax: 802-464-9314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD ALBRECHT
Title or Position: DIRECTOR
Credential:
Phone: 802-447-5656