Active NPIOrganization

Mad River Integrative Medicine

Family Medicine in Waitsfield, Vermont

NPI Number1124239199
Practice location
5360 Main St, Suite 2, Waitsfield, VT 05673-6003
Fax
—
Last updated
October 27, 2007

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 1124239199. The current practice location address for Mad River Integrative Medicine is 5360 Main St, Suite 2, Waitsfield, VT 05673-6003 and can be reached out via phone at 802-496-2202.

Provider Profile Details

NPI Number
1124239199
Provider Name
Mad River Integrative Medicine
Provider Entity Type
Organization
Address
5360 Main St, Suite 2, Waitsfield, VT 05673-6003
Phone Number
802-496-2202
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Tim Wargo · Owner · 802-496-2202
Provider Enumeration Date
May 24, 2007
Last Update Date
October 27, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
5360 Main St
Suite 2
Waitsfield, VT 05673-6003
State
Vermont
Zip
05673-6003
Phone Number
802-496-2202
Waitsfield, VT 05673Get directions →

Provider Business Mailing Address Details

Address
5360 Main St
Suite 2
Waitsfield, VT 05673-6003
City
Waitsfield
State
VT
Zip
05673-6003

License Information

Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 1124239199. It was assigned on May 24, 2007 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 Family Medicine (code 207Q00000X).

Where does Mad River Integrative Medicine practice?

The practice location is 5360 Main St, Suite 2, Waitsfield, VT 05673-6003. The office can be reached at 802-496-2202 (phone).

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 1124239199 directly on the NPPES registry website.

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