| Village Health, Inc. | |
|
5 Park St Ste 3a Middlebury VT 05753-1169 | |
| (802) 922-6538 | |
| Not Available |
| Full Name | Village Health, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5 Park St Ste 3a, Middlebury, Vermont |
| Authorized Official Name and Position | Jessica Alice Rouse (PHYSICIAN, SECRETARY/TREASURER) |
| Authorized Official Contact | 8029226538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Health, Inc. 5 Park St Ste 3a Middlebury VT 05753-1169 Ph: (802) 922-6538 | Village Health, Inc. 5 Park St Ste 3a Middlebury VT 05753-1169 Ph: (802) 922-6538 |
| NPI Number | 1992353445 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 08/28/2019 |
| Medicare PECOS PAC ID | 8224463229 |
|---|---|
| Medicare Enrollment ID | O20200122000850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992353445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jessica A Rouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063546752 PECOS PAC ID: 2365598927 Enrollment ID: I20090923000257 |
| Provider Name | Laura Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093720716 PECOS PAC ID: 5294816153 Enrollment ID: I20110201000649 |
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