# SOUTHWESTERN VERMONT MEDICAL CENTER INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTHWESTERN VERMONT MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629010194
- **Authorized official:** LAURIE LINCOLN PHARM D RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (802) 447-5372

## Contact information

- **Practice address:** 100 HOSPITAL DR, BENNINGTON, VT 05201-5004
- **Practice address phone:** (802) 447-5370
- **Practice address fax:** (802) 447-5373
- **Mailing address:** 100 HOSPITAL DR, BENNINGTON, VT 05201-5004
- **Mailing address phone:** (802) 447-5370
- **Mailing address fax:** (802) 447-5373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 0370001579 | VT | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 09/21/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2101319 | PK | — |