- Practice location
- 706 Main Street, Castleton, VT 05735-0038
- Phone
- 800-287-5325
- Fax
- 802-468-5152
- Last updated
- December 28, 2012
47 Main Street Corporation is a healthcare organization based in Castleton, VT. 47 Main Street Corporation practices in Castleton, VT. The NPI Number for 47 Main Street Corporation is 1134465784. The current practice location address for 47 Main Street Corporation is 706 Main Street, Castleton, VT 05735-0038 and can be reached out via phone at 800-287-5325 and via fax at 802-468-5152.
Provider Profile Details
- NPI Number
- 1134465784
- Provider Name
- 47 Main Street Corporation
- Provider Entity Type
- Organization
- Address
- 706 Main Street, Castleton, VT 05735-0038
- Phone Number
- 800-287-5325
- Fax Number
- 802-468-5152
- Primary Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- Organization Subpart
- No
- Authorized Official
- Willem Leenman, MHSA · Director · 802-468-5325
- Other Names
- Fortyseven Main Street, INC (Doing Business As)
- Provider Enumeration Date
- December 28, 2012
- Last Update Date
- December 28, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 706 Main Street
Castleton, VT 05735-0038 - City
- Castleton
- State
- Vermont
- Zip
- 05735-0038
- Phone Number
- 800-287-5325
- Fax Number
- 802-468-5152
Provider Business Mailing Address Details
- Address
- Po Box 38
706 Main Street
Castleton, VT 05735-0038 - City
- Castleton
- State
- VT
- Zip
- 05735-0038
- Phone Number
- 800-287-5325
- Fax Number
- 802-468-5152
License Information
- Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X · 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 47 Main Street Corporation?
The NPI number of 47 Main Street Corporation is 1134465784. It was assigned on December 28, 2012 and is currently active in the NPPES registry.
What is the specialty of 47 Main Street Corporation?
47 Main Street Corporation is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X).
Where does 47 Main Street Corporation practice?
The practice location is 706 Main Street, Castleton, VT 05735-0038. The office can be reached at 800-287-5325 (phone) or 802-468-5152 (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 1134465784 directly on the NPPES registry website.