Provider Demographics
NPI:1861690547
Name:SOUTHWESTERN VERMONT HEALTH CARE ENTERPRISES
Entity type:Organization
Organization Name:SOUTHWESTERN VERMONT HEALTH CARE ENTERPRISES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-447-5656
Mailing Address - Street 1:PO BOX 1088
Mailing Address - Street 2:
Mailing Address - City:WEST DOVER
Mailing Address - State:VT
Mailing Address - Zip Code:05356-1088
Mailing Address - Country:US
Mailing Address - Phone:802-464-9300
Mailing Address - Fax:802-464-9314
Practice Address - Street 1:13 GRAND SUMMIT WAY
Practice Address - Street 2:
Practice Address - City:WEST DOVER
Practice Address - State:VT
Practice Address - Zip Code:05356
Practice Address - Country:US
Practice Address - Phone:802-464-9300
Practice Address - Fax:802-464-9314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care