Provider Demographics
NPI:1518668227
Name:SPRINGFIELD MEDICAL CARE SYSTEMS INC
Entity Type:Organization
Organization Name:SPRINGFIELD MEDICAL CARE SYSTEMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE CREDENTIALING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:CUTTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-886-8953
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05143-0159
Mailing Address - Country:US
Mailing Address - Phone:802-875-2878
Mailing Address - Fax:802-875-6696
Practice Address - Street 1:55 VT ROUTE 11 W
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VT
Practice Address - Zip Code:05143-9202
Practice Address - Country:US
Practice Address - Phone:802-875-2878
Practice Address - Fax:802-875-6696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty