Organization
CARLOS OTIS STRATTON MOUNTAIN CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HAND (EXECUTIVE DIRECTOR)
(802) 297-2300
Entity
Organization
Contact information
Practice address
78 FOUNDERS HILL ROAD, STRATTON MOUNTAIN, VT 05155
(802) 297-2300
Mailing address
78 FOUNDERS HILL ROAD, STRATTON MOUNTAIN, 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
—
Enumeration date
02/19/2016
Last updated
02/19/2016
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