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Organization
CENTRAL VERMONT MEDICAL CENTER INC
Active
Organization
CENTRAL VERMONT MEDICAL CENTER INC
Active
Other names
Woodridge Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
CHEYENNE HOLLAND (CFO)
(802) 371-4109
Entity
Organization
Contact information
Practice address
142 WOODRIDGE DR., BERLIN, VT 05602-9165
(802) 371-4700
(802) 371-4720
Mailing address
PO BOX 550, BARRE, VT 05641-0550
(802) 371-4700
(802) 371-4720
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
270000165
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007208
MEDICAID PHARMACY
VT
05
—
0475045
—
VT
01
—
5624220002
DMERC
—
Enumeration date
10/04/2006
Last updated
02/16/2024
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