STATE OF VERMONT – NPI #1164542361
Clinic/Center

STATE OF VERMONT is an AHC clinic located in BURLINGTON, VT. NPPES has assigned the NPI number 1164542361 to STATE OF VERMONT on March 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP0905X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Public Health, State or Local

The NPI profile was previously updated about 18 years ago on Jul 30, 2008. 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 STATE OF VERMONT below.

NPI Profile for
STATE OF VERMONT

NPI Number
1164542361
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
STATE OF VERMONT
Primary location
108 CHERRY ST
BURLINGTON, VT 05401-4295
Phone: (802) 863-7338 Fax: (802) 863-7635
Mailing address
PO BOX 70
BURLINGTON, VT 05402-0070
Phone: (802) 863-7338 Fax: (802) 863-7635
Organization Subpart
No
Authorized Official
PATRICK BURKE
FEDERAL PROGRAMS ADMINISTRATOR
Phone: (802) 863-7257
Updated
Identifiers

Identifiers for STATE OF VERMONT

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
MEDICAIDVT1002536
MEDICAIDVT0005099
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
261QP0905X
- Clinic/Center / Public Health, State or Local (Primary)
332B00000X
- Durable Medical Equipment & Medical Supplies

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.