| Carlos Otis Stratton Mountain Clinic, Inc. | |
|
78 Founders Hill Road Stratton Mountain VT 05155 | |
| (802) 297-2300 | |
| Not Available |
| Full Name | Carlos Otis Stratton Mountain Clinic, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 78 Founders Hill Road, Stratton Mountain, Vermont |
| Authorized Official Name and Position | Mary Beth Hand (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8022972300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Otis Stratton Mountain Clinic, Inc. 78 Founders Hill Road Stratton Mountain VT 05155 Ph: (802) 297-2300 | Carlos Otis Stratton Mountain Clinic, Inc. 78 Founders Hill Road Stratton Mountain VT 05155 Ph: (802) 297-2300 |
| NPI Number | 1598124455 |
|---|---|
| Provider Enumeration Date | 02/19/2016 |
| Last Update Date | 02/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598124455 | NPI | - | NPPES |
| 3016458 | Other | VT BCBS NON PAR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |