1952412017 NPI number — VERMONT CATHOLIC CHARITIES, INC.

Table of content: (NPI 1952412017)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952412017 NPI number — VERMONT CATHOLIC CHARITIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VERMONT CATHOLIC CHARITIES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952412017
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/29/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
55 JOY DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH BURLINGTON
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05403-0000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-658-6111
Provider Business Mailing Address Fax Number:
802-860-0451

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
243 NORTH PROSPECT STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BURLINGTON
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05401-1609
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-864-0263
Provider Business Practice Location Address Fax Number:
802-864-5640
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PAYEA
Authorized Official First Name:
DENISE
Authorized Official Middle Name:
M
Authorized Official Title or Position:
BUSINESS MANAGER
Authorized Official Telephone Number:
802-658-6111

Provider Taxonomy Codes

  • Taxonomy code: 311ZA0620X , with the licence number:  0155 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 047W110 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 047W080 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com