SOUTHWESTERN VERMONT MEDICAL CENTER INC. (NPI# 1205865789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205865789 |
| Entity Type | Organization |
| Organization Name | SOUTHWESTERN VERMONT MEDICAL CENTER INC. |
| Practice Address |
100 Hospital Dr Bennington VT 05201-5004 |
| Practice Telephone | 8024426361 |
| Practice Fax Number | 8024474537 |
| Mailing Telephone | 8024426361 |
| Mailing Fax Number | 8024474537 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2013-10-11 |
| Authorized Official Name | MR. THOMAS DEE (CEO) |
| Authorized Official Telephone | 8024475014 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities | ||
| Y | 282N00000X | General Acute Care Hospital | 677 | VT | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0472301 | 05 | |
| VT | 0470012 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184994162 | Southwestern Vermont Medical Center Inc. | Allergy & Immunology | 140 Hospital Dr, Bennington, VT 05201-5009 | 2012-01-06 |
| 1336397926 | Southwestern Vermont Medical Center Inc. | Clinic/Center | 339 Dewey St, Bennington, VT 05201-2253 | 2008-09-08 |
| 1962650556 | Southwestern Vermont Medical Center Inc. | Clinic/Center | 140 Hospital Dr, Suite 116, Bennington, VT 05201-5009 | 2008-09-08 |
| 1699923284 | Southwestern Vermont Medical Center Inc. | Surgery | 140 Hospital Dr, Bennington, VT 05201-5009 | 2008-09-08 |
| 1780832378 | Southwestern Vermont Medical Center Inc. | Pediatrics | 140 Hospital Dr, Suite 207, Bennington, VT 05201-5009 | 2008-09-08 |
| Street Address |
100 HOSPITAL DR |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114530029 | Kelsey Buran | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-08-29 |
| 1982212478 | Daniel Hennessey | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-07-21 |
| 1306462106 | Daryl Silva | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-06-18 |
| 1720625833 | William B Smith | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5013 | 2019-12-09 |
| 1528613155 | Christine Lynne Burke | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-08-09 |
| 1508427980 | Nathalie Santos | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-06-26 |
| 1588223002 | Gon Saman | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-06-08 |
| 1891276374 | Tracie Ann Crawford | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-08-23 |
| 1922585231 | Mark Epler | Physical Therapist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-07-20 |
| 1619453958 | Mary Campbell | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992922512 | Va Medical Center | General Acute Care Hospital | Va Medical Center 215 North Main Street, White River Junction, VT 03745 | 2007-04-18 |
| 1417049578 | Fletcher Allen Healthcare | General Acute Care Hospital | 792 College Pkwy Ste 201, Colchester, VT 05446-3052 | 2006-09-28 |
| 1942651328 | North Country Hospital | General Acute Care Hospital | 81 Medical Village Dr, Newport, VT 05855-9897 | 2016-06-27 |
| 1912365545 | Va Medical Center | General Acute Care Hospital | 215 N Main St, White River Junction, VT 05009-0001 | 2016-02-10 |
| 1710246053 | Diego Ivan Ramos Valadez | General Acute Care Hospital | 111 Colchester Avenue, Burlington, VT 05401-1473 | 2012-05-07 |
| 1538442199 | Northwestern Medical Center Inc | General Acute Care Hospital | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2011-09-21 |
| 1043548274 | Northwestern Medical Center, Inc. | General Acute Care Hospital | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2009-11-30 |
| 1346424066 | Northwestern Medical Center | General Acute Care Hospital | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2007-12-18 |
| 1942329446 | Gifford Medical Center Inc. | General Acute Care Hospital | 44 S Main St, Randolph, VT 05060-1381 | 2007-03-28 |
| 1346365525 | Northwestern Medical Center | General Acute Care Hospital | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2007-03-20 |
| Find all providers with the same taxonomy | ||||
| City | BENNINGTON |
| Zip Code | 05201 |
Please comment or provide details below to improve the information on SOUTHWESTERN VERMONT MEDICAL CENTER INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.