CLEARCHOICEMD PLLC NPI 1851722417

NPI Information

NPI: 1851722417
Provider Name: CLEARCHOICEMD, PLLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 30D2152620

Address:
798 ROUTE 302
BERLIN, VT
ZIP 05641
Phone: (802) 744-0138
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CLEARCHOICEMD, PLLC is an urgent care clinic center in Berlin, VT. CLEARCHOICEMD, PLLC NPI is 1851722417. The provider is registered as an organization entity type.

The provider's business location address is:

798 ROUTE 302
BERLIN, VT
ZIP 05641-305
Phone: (802) 744-0138
Fax: (802) 622-0836

The provider's authorized official is Marcus J Hampers .
The authorized official title is Chief Executive Officer and has the following contact phone number (603) 526-4635.

The CLIA number assigned to this NPI record is 30D2152620 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2013 and was last updated on 10/7/2022.

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	261QU0200X	Clinic/Center	Urgent Care			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
1	1022955	MEDICAID	VERMONT
2	3126640	MEDICAID	NEW HAMPSHIRE
3	3096072	MEDICAID	NEW HAMPSHIRE
4	3132319	MEDICAID	NEW HAMPSHIRE
5	3126641	MEDICAID	NEW HAMPSHIRE
6	3135935	MEDICAID	NEW HAMPSHIRE
7	3111584	MEDICAID	NEW HAMPSHIRE
8	3114986	MEDICAID	NEW HAMPSHIRE
9	3119431	MEDICAID	NEW HAMPSHIRE
10	3126642	MEDICAID	NEW HAMPSHIRE
11	3133069	MEDICAID	NEW HAMPSHIRE
12	1851722417	MEDICAID	MAINE
13	3124083	MEDICAID	NEW HAMPSHIRE

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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