Organization
SOUTHWESTERN VERMONT HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARY WICKER (DIRECTOR)
(802) 442-6361
Entity
Organization
Contact information
Practice address
100 HOSPITAL DR, BENNINGTON, VT 05201-5004
(802) 442-6361
(802) 447-4537
Mailing address
100 HOSPITAL DR, BENNINGTON, VT 05201-5004
(802) 442-6361
(802) 447-4537
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
VT
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1805
—
VT
05
—
1013238
—
VT
Enumeration date
07/27/2006
Last updated
01/11/2008
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