SOUTHWESTERN VERMONT MEDICAL CENTER, INC (NPI# 1134401599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134401599 |
| Entity Type | Organization |
| Organization Name | SOUTHWESTERN VERMONT MEDICAL CENTER, INC |
| Other Organization Name | SVMC MOUNTAIN MEDICAL SERVICES |
| Practice Address |
13 Grand Summit Way West Dover VT 05356 |
| Mailing Address |
100 Hospital Dr Bennington VT 05201-5004 |
| Practice Telephone | 8024649300 |
| Practice Fax Number | 8024649314 |
| Mailing Telephone | 8024426361 |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |
| Authorized Official Name | THOMAS DEE (CEO) |
| Authorized Official Telephone | 8024426361 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWESTERN VERMONT MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SVMC Mountain Medical Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275059644 | Southwestern Vermont Medical Center, Inc | Dentist | 140 Hospital Dr Ste 104, Bennington, VT 05201-5010 | 2017-08-17 |
| 1740682921 | Southwestern Vermont Medical Center, Inc | General Practice | 140 Hospital Dr, Bennington, VT 05201-5009 | 2014-09-19 |
| 1487930632 | Southwestern Vermont Medical Center, Inc | Orthopaedic Surgery | 332 Dewey St, Bennington, VT 05201-2225 | 2011-11-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHWESTERN VERMONT MEDICAL CENTER, INC. | 100 Hospital Dr, Bennington, VT 05201-5004 |
| Vermont Business Registrations | SOUTHWESTERN VERMONT MEDICAL CENTER, INC. | 100 Hospital Drive, Bennington, VT 05201 |
| New York State Corporations | SOUTHWESTERN VERMONT MEDICAL CENTER, INC. | Paul Frank + Collins P.C., P.o. Box 1307, Burlington, Vt 054021307 |
| Massachusetts Corporations | SOUTHWESTERN VERMONT MEDICAL CENTER, INC. | 100 Hospital Dr., Bennington, VT 05201 |
| Street Address |
13 GRAND SUMMIT WAY |
| City | WEST DOVER |
| State | VT |
| Zip Code | 05356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285674994 | Mountain Sports Medicine, Inc. | Family Medicine | 13 Grand Summit Way, West Dover, VT 05356 | 2006-06-08 |
| 1861690547 | Southwestern Vermont Health Care Enterprises | Clinic/Center | 13 Grand Summit Way, West Dover, VT 05356 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275964983 | Sindy Lee Hassig | Physical Therapist | 4 Alpine Loop, P.o.1112, West Dover, VT 05356-1112 | 2013-12-05 |
| 1982798906 | Zomar Inc | Massage Therapist | 32 Upper Handle Rd, West Dover, VT 05356-1556 | 2006-10-03 |
| 1386879674 | Heather Axman | Counselor | 5 Mountain Park Plaza, West Dover, VT 05356-9999 | 2009-05-15 |
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215367891 | Indian Stream Health Center, Inc | General Practice | 253 Gale St, Canaan Site, Canaan, VT 05903 | 2013-11-19 |
| 1013269430 | Gifford Health Care, Inc | General Practice | 44 South Main St., Randolph, VT 05060-2000 | 2012-10-09 |
| 1457627390 | Jillian Iris Finker | General Practice | 55 North Route 30, Bomoseen, VT 05732 | 2012-03-26 |
| 1033486493 | Avalon Natural Medicine of Vermont, LLC | General Practice | 299 College Street, Burlington, VT 05401 | 2011-11-29 |
| 1356595599 | Horace Oliver Reider | General Practice | 47 Park Ave., Lyndonville, VT 05851 | 2008-11-14 |
| 1043421092 | Vermont Physicians Clinic Inc. | General Practice | 4 Commons St, Rutland, VT 05701-4651 | 2007-05-24 |
| 1639208911 | Robert Lyon Venman | General Practice | 10 Court Street, Middlebury, VT 05753 | 2007-03-05 |
| 1063447340 | John Dale Patton | General Practice | 991 Balen Hazen Rd, Ryegate, VT 05042 | 2006-07-12 |
| 1427053107 | William Arthur Birge | General Practice | 76 Lakemont Rd, Newport, VT 05855-9690 | 2005-06-17 |
| 1740682921 | Southwestern Vermont Medical Center, Inc | General Practice | 140 Hospital Dr, Bennington, VT 05201-5009 | 2014-09-19 |
| Find all providers with the same taxonomy | ||||
| City | WEST DOVER |
| Zip Code | 05356 |
Please comment or provide details below to improve the information on SOUTHWESTERN VERMONT MEDICAL CENTER, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.