Organization
KILLINGTON MEDICAL CLINIC LLC
Active
Parent organization
THE RUTLAND HOSPITAL INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE RUTLAND HOSPITAL INC.
Authorized official
MR. EDWARD OGORZALEK (VP, CHIEF FINANCIAL OFFICER)
(802) 747-1630
Entity
Organization
Contact information
Practice address
3902 KILLINGTON RD, KILLINGTON, VT 05751-9822
(802) 422-6125
(802) 422-6798
Mailing address
PO BOX 205, KILLINGTON, VT 05751-0205
(802) 422-6125
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
L0038157
VT
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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