| Cold Hollow Family Practice Pc | |
|
84 Water Tower Rd Suite 1 Enosburg Falls VT 05450-6097 | |
| (802) 933-6664 | |
| (802) 933-8333 |
| Full Name | Cold Hollow Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 84 Water Tower Rd, Enosburg Falls, Vermont |
| Authorized Official Name and Position | Lorne Marshall Newton Babb (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8029336664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cold Hollow Family Practice Pc 84 Water Tower Rd Suite 1 Enosburg Falls VT 05450-6097 Ph: (802) 933-6664 | Cold Hollow Family Practice Pc 84 Water Tower Rd Suite 1 Enosburg Falls VT 05450-6097 Ph: (802) 933-6664 |
| NPI Number | 1902892870 |
|---|---|
| Provider Enumeration Date | 09/26/2005 |
| Last Update Date | 06/16/2020 |
| Medicare PECOS PAC ID | 1658326939 |
|---|---|
| Medicare Enrollment ID | O20080225000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902892870 | NPI | - | NPPES |
| 0473824 | Medicaid | VT | |
| 0VN1159 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lorne M N Babb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134115090 PECOS PAC ID: 9830144112 Enrollment ID: I20080225000243 |
| Provider Name | Samantha O Cooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891288486 PECOS PAC ID: 8820348865 Enrollment ID: I20180912001509 |
| Provider Name | Catherine S Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245842772 PECOS PAC ID: 2264835826 Enrollment ID: I20210721000235 |
The Richford Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 382 Main St, Enosburg Falls, VT 05450 Phone: 802-933-5831 Fax: 802-933-5836 | |
Cold Hollow Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 84 Water Tower Rd, Suite 1, Enosburg Falls, VT 05450 Phone: 802-933-6664 Fax: 802-933-8333 |