institution
Hope Medical Clinic Pllc
Primary Care Clinic/Center in Rutland, Vermont
NPI 1306116801

Hope Medical Clinic Pllc is a Primary Care Clinic/Center based in Rutland, VT and is specialized in Primary Care. Hope Medical Clinic Pllc practices in Rutland, VT. The NPI Number for Hope Medical Clinic Pllc is 1306116801 and holds a License No. 1010015655 (Vermont).

The current practice location address for Hope Medical Clinic Pllc is 92 Allen St, Rutland, VT and can be reached out via phone at 802-773-7502 and via fax at 802-773-7022.

Location: 92 Allen St, Rutland, VT, 05701-4562
institution
Provider Profile Details
NPI Number
1306116801
Provider Name
Hope Medical Clinic Pllc
Credential
Provider Entity Type
Organization
Address
92 Allen St, Rutland, VT, 05701-4562
Phone Number
802-773-7502
Fax Number
802-773-7022
Provider Enumeration Date
12/31/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0025803 01 VT MEDICARE PTAN
5501740 01 VT MVP
1008529 05 VT
1020249 01 VT MEDICAID FOR HOPE MEDICAL CLINIC
47D2040632 01 CLIA WAIVER
institution
Provider Business Practice Location Address Details
Address
92 Allen St
City
State
Zip
05701-4562
Phone Number
802-773-7502
Fax Number
802-773-7022
person
Provider Business Mailing Address Details
Address
92 Allen St
City
State
Zip
05701-4562
Phone Number
802-773-7502
Fax Number
802-773-7022
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
1010015655 (Vermont)
Definition
Definition to come...
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