Provider Demographics
NPI:1821213513
Name:GOODHEALTH, P.C.
Entity Type:Organization
Organization Name:GOODHEALTH, P.C.
Other - Org Name:GOOD HEALTH DIAGNOSTIC CENTER, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:GS
Authorized Official - Last Name:GUNTHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:802-860-7070
Mailing Address - Street 1:368 DORSET ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6236
Mailing Address - Country:US
Mailing Address - Phone:802-860-7070
Mailing Address - Fax:802-860-7060
Practice Address - Street 1:368 DORSET ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6236
Practice Address - Country:US
Practice Address - Phone:802-860-7070
Practice Address - Fax:802-860-7060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1013797Medicaid
VTP00397097OtherRAIL ROAD MEDICARE
VT0000655Medicare PIN
VTP00397097OtherRAIL ROAD MEDICARE