| Brookside Family Health Center, Pllc | |
|
206 Commerce St Hinesburg VT 05461-0416 | |
| (802) 482-3900 | |
| (802) 482-4159 |
| Full Name | Brookside Family Health Center, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 206 Commerce St, Hinesburg, Vermont |
| Authorized Official Name and Position | Roger Joseph Giroux (OWNER) |
| Authorized Official Contact | 8024823900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookside Family Health Center, Pllc Po Box 416 206 Commerce St Hinesburg VT 05461-0416 Ph: (802) 482-3900 | Brookside Family Health Center, Pllc 206 Commerce St Hinesburg VT 05461-0416 Ph: (802) 482-3900 |
| NPI Number | 1952702219 |
|---|---|
| Provider Enumeration Date | 09/05/2014 |
| Last Update Date | 09/05/2014 |
| Medicare PECOS PAC ID | 5395066914 |
|---|---|
| Medicare Enrollment ID | O20150609000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952702219 | NPI | - | NPPES |
| 9210 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 42-0008119 (Vermont) | Primary |
| Provider Name | Roger J Giroux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942473566 PECOS PAC ID: 0749349967 Enrollment ID: I20081103000587 |
Hinesburg Family Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Commerce St, Unit 10, Hinesburg, VT 05461 Phone: 802-482-3200 Fax: 802-482-5238 |