Active NPIOrganization

Green Mountain Infectious Disease LLC

Internal Medicine, Infectious Disease in Rutland, Vermont

NPI Number1205640604
Practice location
69 Allen St Ste 8, Rutland, VT 05701-4564
Fax
—
Last updated
July 10, 2025

Green Mountain Infectious Disease LLC is a healthcare organization based in Rutland, VT. Green Mountain Infectious Disease LLC practices in Rutland, VT. The NPI Number for Green Mountain Infectious Disease LLC is 1205640604. The current practice location address for Green Mountain Infectious Disease LLC is 69 Allen St Ste 8, Rutland, VT 05701-4564 and can be reached out via phone at 207-807-4452.

Provider Profile Details

NPI Number
1205640604
Provider Name
Green Mountain Infectious Disease LLC
Provider Entity Type
Organization
Address
69 Allen St Ste 8, Rutland, VT 05701-4564
Phone Number
207-807-4452
Primary Taxonomy
Internal Medicine, Infectious Disease · 207RI0200X
Organization Subpart
No
Authorized Official
John Gavin Cotter · Provider/Owner · 207-807-4452
Provider Enumeration Date
February 5, 2025
Last Update Date
July 10, 2025
Certification Date
July 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
69 Allen St Ste 8
Rutland, VT 05701-4564
State
Vermont
Zip
05701-4564
Phone Number
207-807-4452
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
69 Allen St Ste 8
Rutland, VT 05701-4564
City
Rutland
State
VT
Zip
05701-4564
Phone Number
207-807-4452

License Information

Taxonomy
Internal Medicine, Infectious Disease · 207RI0200X · 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 Green Mountain Infectious Disease LLC?

The NPI number of Green Mountain Infectious Disease LLC is 1205640604. It was assigned on February 5, 2025 and is currently active in the NPPES registry.

What is the specialty of Green Mountain Infectious Disease LLC?

Green Mountain Infectious Disease LLC is registered under the primary taxonomy Internal Medicine, Infectious Disease (code 207RI0200X).

Where does Green Mountain Infectious Disease LLC practice?

The practice location is 69 Allen St Ste 8, Rutland, VT 05701-4564. The office can be reached at 207-807-4452 (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 1205640604 directly on the NPPES registry website.

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