Organization
FREEDOM MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R BURFOOT (OWNER)
(802) 524-1451
Entity
Organization
Contact information
Practice address
268 N MAIN ST, STE 2, ST ALBANS, VT 05478-2500
(802) 524-1451
(802) 524-0975
Mailing address
268 N MAIN ST, STE 2, ST ALBANS, VT 05478-2500
(802) 524-1451
(802) 524-0975
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009657
—
VT
01
—
4693408
CIGNA PROV NUMBER
VT
01
—
553990
NH CIGNA PROV NUMBER
VT
01
—
88890
MVP PROV NUMBER
VT
01
—
FREE59589
BCBS VT PROV NUMBER
VT
Enumeration date
11/22/2005
Last updated
07/21/2022
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