# MANCHESTER MEDICAL CENTER PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MANCHESTER MEDICAL CENTER PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245919661
- **Legal business name:** MANCHESTER MEDICAL CENTER PLLC
- **Authorized official:** KIMBERLY COTTRELL (CODER)
- **Authorized official phone:** (802) 755-7144

## Contact information

- **Practice address:** 34 BONNET ST, MANCHESTER CENTER, VT 05255-8920
- **Practice address phone:** (802) 755-7144
- **Mailing address:** 34 BONNET ST, MANCHESTER CENTER, VT 05255-8920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2023
- **Last updated:** 07/13/2023