Organization
SPRINGFIELD MEDICAL CARE SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MAJKA (CFO/CSO)
(802) 885-7629
Entity
Organization
Contact information
Practice address
29 RIDGEWOOD RD, SPRINGFIELD, VT 05156-3060
(802) 886-3556
Mailing address
PO BOX 710, SPRINGFIELD, VT 05156-0710
(802) 886-3556
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
471845
MEDICARE PTAN
—
Enumeration date
01/17/2013
Last updated
03/07/2013
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