Organization
PINES HEALTH AND REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS BERGERON JR. DO (ADMINISTRATOR)
(802) 626-3361
Entity
Organization
Contact information
Practice address
601 RED VILLAGE RD, LYNDONVILLE, VT 05851-9068
(802) 626-3361
Mailing address
601 RED VILLAGE RD, LYNDONVILLE, VT 05851-9068
(802) 626-3361
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0475044
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225000383
—
VT
Enumeration date
11/07/2007
Last updated
08/26/2025
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