| New Bloom Health Center | |
|
28 Park Ave # 201 Williston VT 05495-9701 | |
| (802) 203-2550 | |
| (802) 419-4825 |
| Full Name | New Bloom Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 28 Park Ave # 201, Williston, Vermont |
| Authorized Official Name and Position | Michelle Paavola (OWNER) |
| Authorized Official Contact | 7147436158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Bloom Health Center 28 Park Ave # 201 Williston VT 05495-9701 Ph: (802) 203-2550 | New Bloom Health Center 28 Park Ave # 201 Williston VT 05495-9701 Ph: (802) 203-2550 |
| NPI Number | 1689400467 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 03/19/2025 |
| Medicare PECOS PAC ID | 0749712420 |
|---|---|
| Medicare Enrollment ID | O20241018002725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689400467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michelle Marie Paavola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851534499 PECOS PAC ID: 2567994247 Enrollment ID: I20241018002778 |
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