Provider Demographics
NPI:1598885915
Name:SOUTHWESTERN VERMONT MEDICAL CENTER
Entity Type:Organization
Organization Name:SOUTHWESTERN VERMONT MEDICAL CENTER
Other - Org Name:VISITING NURSE ASSOCIATION & HOSPICE OF SOUTHWESTERN VERMONT HEALTH CA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARONEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:802-442-5502
Mailing Address - Street 1:160 BENMONT AVE
Mailing Address - Street 2:SUITE 17
Mailing Address - City:BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05201-1873
Mailing Address - Country:US
Mailing Address - Phone:802-442-5502
Mailing Address - Fax:802-442-4919
Practice Address - Street 1:160 BENMONT AVE
Practice Address - Street 2:SUITE 17
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-1873
Practice Address - Country:US
Practice Address - Phone:802-442-5502
Practice Address - Fax:802-442-4919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care