GREEN MOUNTAIN PROSTHETICS & NPI 1336267863

NPI Information

NPI: 1336267863
Provider Name: GREEN MOUNTAIN PROSTHETICS &
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
92 WAITES LN
STOWE, VT
ZIP 05672
Phone: (802) 253-0003
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GREEN MOUNTAIN PROSTHETICS & is a durable medical equipment medical supplies in Stowe, VT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. GREEN MOUNTAIN PROSTHETICS & NPI is 1336267863. The provider is registered as an organization entity type.

The provider's business location address is:

92 WAITES LN
STOWE, VT
ZIP 05672-431
Phone: (802) 253-0003
Fax: (802) 253-9794

The provider's authorized official is James B. Davis .
The authorized official title is President and has the following contact phone number (802) 253-0003.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 11/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies			VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1009984	MEDICAID	VERMONT
2	GREE59788	OTHER	VERMONT	BLUE CROSS & BLUE SHIELD
3	4980770001	MEDICARE ID-TYPE UNSPECIFIED	VERMONT
4	4658019	OTHER	VERMONT	CIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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