ACTD,LLC (NPI# 1508342114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508342114 |
| Entity Type | Organization |
| Organization Name | ACTD,LLC |
| Other Organization Name | GREEN MOUNTAIN SURGERY CENTER |
| Practice Address |
593 Hercules Dr Colchester VT 05446-0544 |
| Mailing Address |
593 Hercules Dr Colchester VT 05446-5993 |
| Practice Telephone | 8024885350 |
| Mailing Telephone | 8024885350 |
| Mailing Fax Number | 8023389390 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2019-07-05 |
| Authorized Official Name | HEATHER BARTLETT (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8024885350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Green Mountain Surgery Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 525 Hercules Dr, Colchester, VT 054465993 | 8024885350 |
| Street Address |
593 HERCULES DR |
| City | COLCHESTER |
| State | VT |
| Zip Code | 05446-0544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130157 | Justin Michael Boufford | Pharmacist | 218 Lower Mountian View Dr., Colchester, VT 05446 | 2020-09-24 |
| 1174154991 | The Vermont Center for Responder Wellness | Social Worker | 162 Hegeman Avenue, Suite 100, Colchester, VT 05446 | 2020-01-30 |
| 1972011047 | Erin Lee Murphy | Speech-Language Pathologist | 131 Laker Lane, Colchester, VT 05446 | 2018-01-11 |
| 1821535204 | Zoe Walsh | Specialist/Technologist | 131 Laker Ln, Colchester, VT 05446 | 2017-01-24 |
| 1407262827 | Charlotte M Church | Dentist | 416 Roosevelt Hwy Ste 201, Colchester, VT 05446 | 2014-07-07 |
| 1215251681 | Courtney Joy Brink | Speech-Language Pathologist | 1100 Prim Rd, Colchester, VT 05446 | 2010-03-15 |
| 1316170343 | Alexis Brooke Ressler | Nurse Practitioner | 729 Colchester Parkway, Medical Office Building, Suite 205, Colchester, VT 05446 | 2009-08-25 |
| 1659539393 | Deborah Kalamasz | Speech-Language Pathologist | 11102 Ethan Allen Ave, Colchester, VT 05446 | 2008-05-29 |
| 1235356700 | Angelo Marinakis | Chiropractor | 85 Prim Road, Suite 401, Colchester, VT 05446 | 2007-04-19 |
| 1629292719 | Susan Mary Coleman | Occupational Therapist | 800 Middle Road, Colchester, VT 05446 | 2007-04-12 |
| Find all providers in zip 05446 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831368356 | Vermont Eye Surgery & Laser Center | Clinic/Center | 1100 Hinesburg Rd, Suite 101, South Burlington, VT 05403-7613 | 2008-02-28 |
| 1861690075 | Paul G. Boerman, PC | Clinic/Center | 44 Timber Ln, South Burlington, VT 05403-7204 | 2007-07-10 |
| 1760431878 | Danielson Surgical Associates | Clinic/Center | 1290 Hospital Dr, St Johnsbury, VT 05819-9205 | 2006-05-08 |
| City | COLCHESTER |
| Zip Code | 05446 |
Please comment or provide details below to improve the information on ACTD,LLC.
| 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.