Organization
BRATTLEBORO EMERGENCY SERVICES
Active
Other names
BRATTLEBORO MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REINA CHAMPNEY (CREDENTIALING MANAGE R)
(802) 257-8203
Entity
Organization
Contact information
Practice address
17 BELMONT AVE, BRATTLEBORO, VT 05301-6613
(802) 257-8382
(802) 251-8466
Mailing address
17 BELMONT AVE, BRATTLEBORO, VT 05301-6613
(802) 257-8382
(802) 251-8466
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0470011
—
VT
Enumeration date
12/11/2006
Last updated
05/25/2021
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