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Organization
CARLOS OTIS STRATTON MOUNTAIN CLINIC, INC.
Active
Organization
CARLOS OTIS STRATTON MOUNTAIN CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HAND (EXECUTIVE DIRECTOR)
(802) 297-2300
Entity
Organization
Contact information
Practice address
78 FOUNDERS HILL ROAD, STRATTON MOUNTAIN, VT 05155
(802) 297-2300
Mailing address
78 FOUNDERS HILL ROAD, STRATTON MOUNTAIN, VT 05155
(802) 297-2300
(802) 297-3412
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3016458
VT BCBS NON PAR
—
Enumeration date
02/19/2016
Last updated
02/19/2016
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