# MIDDLEBURY FAMILY HEALTH

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

## Provider details

- **NPI number:** 1932159142
- **Authorized official:** STACY LYNN LADD (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (802) 388-1500

## Contact information

- **Practice address:** 1330 EXCHANGE ST STE 201, MIDDLEBURY, VT 05753-4464
- **Practice address phone:** (802) 388-1500
- **Practice address fax:** (802) 388-0441
- **Mailing address:** 1330 EXCHANGE ST STE 201, MIDDLEBURY, VT 05753-4464
- **Mailing address phone:** (802) 388-1500
- **Mailing address fax:** (802) 388-0441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 10/14/2020