| Rutland Hospital, Inc. | |
|
160 Allen St Rutland VT 05701-4560 | |
| (802) 747-1630 | |
| (802) 775-7214 |
| Full Name | Rutland Hospital, Inc. |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 160 Allen St, Rutland, Vermont |
| Authorized Official Name and Position | Edward S Ogorzalek (CFO) |
| Authorized Official Contact | 8027471630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rutland Hospital, Inc. 160 Allen St Rutland VT 05701-4560 Ph: (802) 747-1630 | Rutland Hospital, Inc. 160 Allen St Rutland VT 05701-4560 Ph: (802) 747-1630 |
| NPI Number | 1720042203 |
|---|---|
| Provider Enumeration Date | 04/13/2006 |
| Last Update Date | 07/31/2012 |
| Medicare PECOS PAC ID | 7214846377 |
|---|---|
| Medicare Enrollment ID | O20030331000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720042203 | NPI | - | NPPES |
| 48364 | Other | VT | BC DIABETES PROV # |
| 0004910 | Medicaid | VT | |
| 0005713 | Medicaid | VT | |
| 0009521 | Medicaid | VT | |
| 5834 | Other | VT | BC CARDIOLOGY PROV # |
| 047W147 | Medicaid | VT | |
| 00352429 | Medicaid | NY | |
| 0009678 | Medicaid | VT | |
| 4361 | Other | VT | BLUE CROSS ED PROV # |
| 047-0005 | Medicaid | VT | |
| 0005384 | Medicaid | VT | |
| 1009146 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 772 (Vermont) | Secondary |
| 282N00000X | General Acute Care Hospital | 676 (Vermont) | Primary |
Neurology Micropractice, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 73 Center St, Rutland, VT 05701 Phone: 802-775-7778 Fax: 802-775-7775 | |
Forensic Consultation & Counseling Service Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 135 Granger St, Rutland, VT 05701 Phone: 802-772-0700 Fax: 802-771-8009 | |
Mclellan Psychotherapy Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Merchants Row, Rutland, VT 05701 Phone: 802-779-7346 | |
Psychotherapy Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Mahoney Ave, Rutland, VT 05701 Phone: 802-775-2581 Fax: 802-775-3395 | |
The Mentor Connector Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Merchants Row Ste 210, Rutland, VT 05701 Phone: 802-775-3434 | |
Bradford Psychiatric Associates. Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 199 Stratton Rd Ste 1, Rutland, VT 05701 Phone: 802-775-7798 Fax: 802-775-7762 | |
Rutland Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 78 S Main St, Rutland, VT 05701 Phone: 802-775-8224 Fax: 802-747-7699 |