Provider Demographics
NPI:1609198654
Name:STATE OF VERMONT DEPT. OF FINANCE AND MGMT.
Entity Type:Organization
Organization Name:STATE OF VERMONT DEPT. OF FINANCE AND MGMT.
Other - Org Name:OFFICE OF VERMONT HEALTH ACCESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BESIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-879-5952
Mailing Address - Street 1:312 HURRICANE LANE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495
Mailing Address - Country:US
Mailing Address - Phone:802-879-5900
Mailing Address - Fax:802-879-5959
Practice Address - Street 1:312 HURRICANE LANE
Practice Address - Street 2:SUITE 201
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495
Practice Address - Country:US
Practice Address - Phone:802-879-5900
Practice Address - Fax:802-879-5959
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STATE OF VERMONT DEPARTMENT OF FINANCE AND MANAGEMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare