| Garnet Clinical Services Llc | |
|
1000 River St Bldg 900 Essex Junction VT 05452-4201 | |
| (802) 876-2300 | |
| Not Available |
| Full Name | Garnet Clinical Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 River St Bldg 900, Essex Junction, Vermont |
| Authorized Official Name and Position | Ryan Ferris (PRESIDENT AND CEO) |
| Authorized Official Contact | 8028762301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garnet Clinical Services Llc 34 Blair Park Rd Ste 104 Box 327 Williston VT 05495-7991 Ph: (802) 876-2300 | Garnet Clinical Services Llc 1000 River St Bldg 900 Essex Junction VT 05452-4201 Ph: (802) 876-2300 |
| NPI Number | 1922763952 |
|---|---|
| Provider Enumeration Date | 11/04/2021 |
| Last Update Date | 11/04/2021 |
| Medicare PECOS PAC ID | 4486024403 |
|---|---|
| Medicare Enrollment ID | O20230106002145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922763952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Wendy A James |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316955602 PECOS PAC ID: 6305944307 Enrollment ID: I20070614000006 |
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