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1992745699

NPI Code Detail

MEDICARE: DR. VERMONT H MCALLISTER MD

MEDICARE: DR. VERMONT H MCALLISTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD00011625	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02717	OTHER	WA	REGENCE BLUESHIELD
2	0130080	OTHER	WA	LABOR & INDUSTRIES (REG)
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8925038	OTHER	WA	LABOR & INDUSTRIES (CV)

General Provider Information

NPI Number	:	1992745699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VERMONT H MCALLISTER MD

Provider Business Mailing Address
First Line	:	873 HINOTES CT
Second Line	:	SUITE 1
City	:	LYNDEN
State	:	WA
Zip	:	98264-9043
Country	:	US
Telephone Number	:	360-318-9705
Fax Number	:	360-318-8735

Provider Business Practice Location Address
First Line	:	3500 ORCHARD PL
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-1749
Country	:	US
Telephone Number	:	360-671-3900
Fax Number	:	360-647-0882

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	11/08/2007

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Directions to “ DR. VERMONT H MCALLISTER MD” Practice Location

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