# STATE OF VERMONT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164542361
- **Authorized official:** PATRICK BURKE (FEDERAL PROGRAMS ADMINISTRATOR)
- **Authorized official phone:** (802) 863-7257

## Contact information

- **Practice address:** 108 CHERRY ST, BURLINGTON, VT 05401-4295
- **Practice address phone:** (802) 863-7338
- **Practice address fax:** (802) 863-7635
- **Mailing address:** PO BOX 70, BURLINGTON, VT 05402-0070
- **Mailing address phone:** (802) 863-7338
- **Mailing address fax:** (802) 863-7635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP0905X | State or Local Public Health Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 07/30/2008