Organization
CARLOS OTIS STRATTON MT CLINIC INC
Active
Other names
Otis Clinic Stratton Mt Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BETH HAND RN (EXECUTIVE DIRECTOR)
(802) 297-2300
Entity
Organization
Contact information
Practice address
78 FOUNDERS HILL ROAD, STRATTON MT, VT 05155
(802) 297-2300
(802) 297-3412
Mailing address
PO BOX 617, STRATTON MT, VT 05155
(802) 297-2300
(802) 297-3412
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3016458
VT BCBS NON PAR
VT
Enumeration date
12/19/2006
Last updated
08/22/2020
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