Organization
ORLEANS MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BOURGEOIS M.D. (OWNER)
(802) 754-2220
Entity
Organization
Contact information
Practice address
30 EAST ST, ORLEANS, VT 05860-1230
(802) 754-2220
(802) 754-2195
Mailing address
30 EAST ST, ORLEANS, VT 05860-1230
(802) 754-2220
(802) 754-2195
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0420007885
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00019768
BCBS #
VT
05
—
0473815
—
VT
Enumeration date
10/10/2006
Last updated
04/27/2009
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