Border Pediatrics
Pediatrics, Adolescent Medicine in Derby Line, Vermont
1750483780- Practice location
- 159 Main St, Derby Line, VT 05830-8754
- Phone
- 802-873-3009
- Fax
- 802-873-3176
- Last updated
- January 4, 2013
Border Pediatrics is a healthcare organization based in Derby Line, VT. Border Pediatrics practices in Derby Line, VT. The NPI Number for Border Pediatrics is 1750483780 and holds a License No. 042-0008363 (VT). The current practice location address for Border Pediatrics is 159 Main St, Derby Line, VT 05830-8754 and can be reached out via phone at 802-873-3009 and via fax at 802-873-3176.
Provider Profile Details
- NPI Number
- 1750483780
- Provider Name
- Border Pediatrics
- Provider Entity Type
- Organization
- Address
- 159 Main St, Derby Line, VT 05830-8754
- Phone Number
- 802-873-3009
- Fax Number
- 802-873-3176
- Primary Taxonomy
- Pediatrics, Adolescent Medicine · 2080A0000X
- Organization Subpart
- No
- Authorized Official
- Dr. Miriam Blodgett Tatum, MD · President · 802-873-3009
- Other Names
- Border Health Center (Former Legal Business Name)
- Provider Enumeration Date
- September 1, 2006
- Last Update Date
- January 4, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 159 Main St
Derby Line, VT 05830-8754 - City
- Derby Line
- State
- Vermont
- Zip
- 05830-8754
- Phone Number
- 802-873-3009
- Fax Number
- 802-873-3176
Provider Business Mailing Address Details
- Address
- 159 Main St
Derby Line, VT 05830-8754 - City
- Derby Line
- State
- VT
- Zip
- 05830-8754
- Phone Number
- 802-873-3009
- Fax Number
- 802-873-3176
License Information
- License Number (1)
- 042-0008363
- License State (1)
- VT
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 042-0008370
- License State (2)
- VT
- Taxonomy (2)
- Pediatrics, Adolescent Medicine · 2080A0000X · 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 Border Pediatrics?
The NPI number of Border Pediatrics is 1750483780. It was assigned on September 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Border Pediatrics?
Border Pediatrics is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in VT under license number 042-0008363.
Where does Border Pediatrics practice?
The practice location is 159 Main St, Derby Line, VT 05830-8754. The office can be reached at 802-873-3009 (phone) or 802-873-3176 (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 1750483780 directly on the NPPES registry website.