CARLOS OTIS STRATTON MT CLINIC INC – NPI #1316000284
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CARLOS OTIS STRATTON MT CLINIC INC is an AHC clinic located in SOUTH LONDONDERRY, VT. NPPES has assigned the NPI number 1316000284 to CARLOS OTIS STRATTON MT CLINIC INC on December 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CARLOS OTIS STRATTON MT CLINIC INC is also known by the name OTIS CLINIC STRATTON MT CLINIC. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARLOS OTIS STRATTON MT CLINIC INC below.

NPI Profile for
CARLOS OTIS STRATTON MT CLINIC INC

NPI Number
1316000284
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARLOS OTIS STRATTON MT CLINIC INC
Other Name: OTIS CLINIC STRATTON MT CLINIC
Primary location
78 FOUNDERS HILL ROAD
SOUTH LONDONDERRY, VT 05155
Phone: (802) 297-2300 Fax: (802) 297-3412
Mailing address
PO BOX 617
STRATTON MT, VT 05155
Phone: (802) 297-2300 Fax: (802) 297-3412
Organization Subpart
No
Authorized Official
MARY BETH HAND
EXECUTIVE DIRECTOR
Phone: (802) 297-2300
Updated
Identifiers

Identifiers for CARLOS OTIS STRATTON MT CLINIC INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERVT BCBS NON PARVT3016458
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.