Mad River Integrative Medicine
Clinic/Center, Primary Care in Waitsfield, Vermont
1114086808- Practice location
- 5360 Main St, Ste 2, Waitsfield, VT 05673-6003
- Phone
- 802-496-2202
- Fax
- 802-496-2223
- Last updated
- April 1, 2008
Mad River Integrative Medicine is a healthcare organization based in Waitsfield, VT. Mad River Integrative Medicine practices in Waitsfield, VT. The NPI Number for Mad River Integrative Medicine is 1114086808 and holds a License No. 042-0007289 (VT). The current practice location address for Mad River Integrative Medicine is 5360 Main St, Ste 2, Waitsfield, VT 05673-6003 and can be reached out via phone at 802-496-2202 and via fax at 802-496-2223.
Provider Profile Details
- NPI Number
- 1114086808
- Provider Name
- Mad River Integrative Medicine
- Provider Entity Type
- Organization
- Address
- 5360 Main St, Ste 2, Waitsfield, VT 05673-6003
- Phone Number
- 802-496-2202
- Fax Number
- 802-496-2223
- Primary Taxonomy
- Clinic/Center, Primary Care · 261QP2300X
- Organization Subpart
- No
- Authorized Official
- Dr. Timothy J Wargo, MD · President · 802-496-2202
- Provider Enumeration Date
- December 8, 2006
- Last Update Date
- April 1, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5360 Main St
Ste 2
Waitsfield, VT 05673-6003 - City
- Waitsfield
- State
- Vermont
- Zip
- 05673-6003
- Phone Number
- 802-496-2202
- Fax Number
- 802-496-2223
Provider Business Mailing Address Details
- Address
- 5360 Main St
Ste 2
Waitsfield, VT 05673-6003 - City
- Waitsfield
- State
- VT
- Zip
- 05673-6003
- Phone Number
- 802-496-2202
- Fax Number
- 802-496-2223
License Information
- License Number
- 042-0007289
- License State
- VT
- Taxonomy
- Clinic/Center, Primary Care · 261QP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mad River Integrative Medicine?
The NPI number of Mad River Integrative Medicine is 1114086808. It was assigned on December 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Mad River Integrative Medicine?
Mad River Integrative Medicine is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in VT under license number 042-0007289.
Where does Mad River Integrative Medicine practice?
The practice location is 5360 Main St, Ste 2, Waitsfield, VT 05673-6003. The office can be reached at 802-496-2202 (phone) or 802-496-2223 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114086808 directly on the NPPES registry website.