Organization
CHAMPLAIN VALLEY URGENT CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY FITZGERALD DO (CEO)
(802) 865-3655
Entity
Organization
Contact information
Practice address
7 FAYETTE DR, SOUTH BURLINGTON, VT 05403-6977
(802) 865-3655
(802) 865-3626
Mailing address
7 FAYETTE DR, SOUTH BURLINGTON, VT 05403-6977
(802) 865-3655
(802) 865-3626
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58634
BCBS OF VT GROUP NUMBER
VT
Enumeration date
10/03/2006
Last updated
08/22/2020
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