HOPE MEDICAL CLINIC PLLC (NPI# 1306116801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306116801 |
Entity Type | Organization |
Organization Name | HOPE MEDICAL CLINIC PLLC |
Practice Address |
92 Allen St Rutland VT 05701-4562 |
Practice Telephone | 8027737502 |
Practice Fax Number | 8027737022 |
Mailing Telephone | 8027737502 |
Mailing Fax Number | 8027737022 |
Enumeration Date | 2011-12-31 |
Last Update Date | 2017-04-17 |
Authorized Official Name | MRS. SUSAN F DUMAS (OWNER) |
Authorized Official Telephone | 8027737502 |
Authorized Official Credential | NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
1010015655 | VT | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CLIA WAIVER | 47D2040632 | 01 | |
VT | MEDICARE PTAN | 0025803 | 01 |
VT | MEDICAID FOR HOPE MEDICAL CLINIC | 1020249 | 01 |
VT | MVP | 5501740 | 01 |
VT | 1008529 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083229587 | Hope Medical Clinic Pllc | Internal Medicine | 7455 W Azure Dr Ste 140, Las Vegas, NV 89130-4431 | 2020-09-11 |
1588086425 | Hope Medical Clinic Pllc | Clinic/Center | 1105 Oak Cluster Dr, Sevierville, TN 37862 | 2014-01-13 |
Street Address |
92 ALLEN ST |
City | RUTLAND |
State | VT |
Zip Code | 05701-4562 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376536383 | John C Wheeler | Plastic Surgery | 92 Allen St, Rutland, VT 05701-4562 | 2005-08-24 |
1023222718 | Vermont Physicians Clinic Dba Family Medicine | Family Medicine | 92 Allen St, Rutland, VT 05701-4562 | 2007-05-10 |
1790815801 | Wheeler Plastic & Reconstructive Surgery,inc | Plastic Surgery | 92 Allen St, Rutland, VT 05701-4562 | 2007-03-07 |
1407946692 | Cheryl Ann Reynolds | Specialist | 92 Allen St, Suite 8, Rutland, VT 05701-4562 | 2006-10-16 |
1558388512 | Patty Anne Thornton | Physician Assistant | 92 Allen St, Rutland, VT 05701 | 2006-07-16 |
1659309052 | Meryl Stark | Nurse Practitioner | 92 Allen St, Suite 3, Rutland, VT 05701-4562 | 2006-06-28 |
1477514362 | Susan F. Dumas | Nurse Practitioner | 92 Allen St, Rutland, VT 05701-4562 | 2006-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
Find all providers in zip 05701 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437618022 | Rutland Family Care, LLC | Clinic/Center | 25 N Main St, Rutland, VT 05701-6100 | 2019-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346859089 | Garnet Transport Medicine, LLC | Clinic/Center | 1000 River St Bldg 900, Essex Junction, VT 05452-4201 | 2020-07-29 |
1114195419 | Lakes Region Healthcare | Clinic/Center | 49 Castleton Meadows Ln, Castleton, VT 05735-9011 | 2008-02-20 |
1407939721 | Family Practice Associates Inc | Clinic/Center | 272 No Main St, Suite 101, Cambridge, VT 05444 | 2006-10-23 |
1093761835 | Charlotte Family Health Center Inc | Clinic/Center | 527 Ferry Rd, Charlotte, VT 05445-9555 | 2006-05-25 |
1487124202 | Gordon Gieg Md Pllc | Clinic/Center | 5138 Shelburne Rd, Shelburne, VT 05482-6698 | 2018-12-05 |
1144755455 | Samuel R. Stoyak, M.d., Plc | Clinic/Center | 43 Timber Ln, South Burlington, VT 05403-5201 | 2017-04-24 |
1336397926 | Southwestern Vermont Medical Center Inc. | Clinic/Center | 339 Dewey St, Bennington, VT 05201-2253 | 2008-09-08 |
1861640161 | Little Rivers Health Care, Inc. | Clinic/Center | 65 Main Street, Wells River, VT 05081 | 2008-08-29 |
1972751279 | Little Rivers Health Care, Inc. | Clinic/Center | 720 Village Rd, East Corinth, VT 05039 | 2008-08-29 |
1588834931 | Avery Wood Md LLC | Clinic/Center | 10 Bank Street, North Bennington, VT 05257 | 2008-03-01 |
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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.