| Dorothy Malone-rising, N.p., P.c. | |
|
384 Lower Main W Johnson VT 05656-9632 | |
| (802) 635-6689 | |
| (802) 635-7435 |
| Full Name | Dorothy Malone-rising, N.p., P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 384 Lower Main W, Johnson, Vermont |
| Authorized Official Name and Position | Dorothy Malone-rising (OWNER) |
| Authorized Official Contact | 8026356689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dorothy Malone-rising, N.p., P.c. 384 Lower Main W Po Box 318 Johnson VT 05656-9632 Ph: (802) 635-6689 | Dorothy Malone-rising, N.p., P.c. 384 Lower Main W Johnson VT 05656-9632 Ph: (802) 635-6689 |
| NPI Number | 1356543821 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356543821 | NPI | - | NPPES |
| ONP0734 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1010013373 (Vermont) | Primary |
Paul Rogers Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 Railroad St, Johnson, VT 05656 Phone: 802-635-7325 Fax: 802-635-9825 | |
Johnson State College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 337 College Hl, Johnson, VT 05656 Phone: 802-635-1265 |