Mountain Sports Medicine, INC.
Family Medicine in West Dover, Vermont
1285674994- Practice location
- 13 Grand Summit Way, West Dover, VT 05356
- Phone
- 802-464-9300
- Fax
- 802-464-9314
- Last updated
- August 22, 2020
Mountain Sports Medicine, INC. is a healthcare organization based in West Dover, VT. Mountain Sports Medicine, INC. practices in West Dover, VT. The NPI Number for Mountain Sports Medicine, INC. is 1285674994 and holds a License No. 42-0005280 (VT). The current practice location address for Mountain Sports Medicine, INC. is 13 Grand Summit Way, West Dover, VT 05356 and can be reached out via phone at 802-464-9300 and via fax at 802-464-9314.
Provider Profile Details
- NPI Number
- 1285674994
- Provider Name
- Mountain Sports Medicine, INC.
- Provider Entity Type
- Organization
- Address
- 13 Grand Summit Way, West Dover, VT 05356
- Phone Number
- 802-464-9300
- Fax Number
- 802-464-9314
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Cheryl L. Rothman · Business Manager · 802-464-9311
- Provider Enumeration Date
- June 8, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 13 Grand Summit Way
West Dover, VT 05356 - City
- West Dover
- State
- Vermont
- Zip
- 05356
- Phone Number
- 802-464-9300
- Fax Number
- 802-464-9314
Provider Business Mailing Address Details
- Address
- Po Box 207
West Dover, VT 05356-0207 - City
- West Dover
- State
- VT
- Zip
- 05356-0207
- Phone Number
- 802-464-9300
- Fax Number
- 802-464-9314
License Information
- License Number
- 42-0005280
- License State
- VT
- Taxonomy
- Family Medicine · 207Q00000X · 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 Mountain Sports Medicine, INC.?
The NPI number of Mountain Sports Medicine, INC. is 1285674994. It was assigned on June 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Mountain Sports Medicine, INC.?
Mountain Sports Medicine, INC. is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VT under license number 42-0005280.
Where does Mountain Sports Medicine, INC. practice?
The practice location is 13 Grand Summit Way, West Dover, VT 05356. The office can be reached at 802-464-9300 (phone) or 802-464-9314 (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 1285674994 directly on the NPPES registry website.