| Mad River Integrative Medicine | |
|
5360 Main St Ste 2 Waitsfield VT 05673-6003 | |
| (802) 496-2202 | |
| (802) 496-2223 |
| Full Name | Mad River Integrative Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5360 Main St, Waitsfield, Vermont |
| Authorized Official Name and Position | Timothy J Wargo (PRESIDENT) |
| Authorized Official Contact | 8024962202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mad River Integrative Medicine 5360 Main St Ste 2 Waitsfield VT 05673-6003 Ph: (802) 496-2202 | Mad River Integrative Medicine 5360 Main St Ste 2 Waitsfield VT 05673-6003 Ph: (802) 496-2202 |
| NPI Number | 1114086808 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114086808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 042-0007289 (Vermont) | Primary |
Mad River Integrative Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5360 Main St, Suite 2, Waitsfield, VT 05673 Phone: 802-496-2202 | |
Mad River Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 Old County Rd, Waitsfield, VT 05673 Phone: 802-496-3838 Fax: 802-496-5586 |