| |
56 Main St Ste 212 Springfield VT 05156-2945 | |
(802) 692-0697 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 56 Main St Ste 212, Springfield, Vermont |
Authorized Official Name and Position | Vincent Buckholz (OWNER) |
Authorized Official Contact | 8026920697 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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56 Main St Ste 212 Springfield VT 05156-2945 Ph: (802) 692-0697 | 56 Main St Ste 212 Springfield VT 05156-2945 Ph: (802) 692-0697 |
NPI Number | 1902305782 |
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Provider Enumeration Date | 02/07/2018 |
Last Update Date | 02/12/2018 |
Medicare PECOS PAC ID | 0648716456 |
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Medicare Enrollment ID | O20240729000766 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902305782 | NPI | - | NPPES |
1030150 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0890114807 (Vermont) | Primary |
Provider Name | Vincent Buckholz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972036432 PECOS PAC ID: 1557807369 Enrollment ID: I20240729000865 |
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