Organization
MONARCH MEDICAL LLC
Active
Organization
MONARCH MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD E PELTIER (OWNER)
(802) 527-0077
Entity
Organization
Contact information
Practice address
12 FAIRFIELD HILL RD, SUITE #2, SAINT ALBANS, VT 05478-9634
(802) 527-0077
(802) 527-0073
Mailing address
PO BOX 1159, SAINT ALBANS, VT 05478-1159
(802) 527-0077
(802) 527-0073
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008684
—
VT
01
—
6788001
VMC PROVIDER NUMBER
VT
01
—
MONA 00059400
BC BS PROVIDER NUMBER
VT
Enumeration date
10/05/2006
Last updated
08/22/2020
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