Provider Demographics
NPI:1962650556
Name:SOUTHWESTERN VERMONT MEDICAL CENTER INC.
Entity Type:Organization
Organization Name:SOUTHWESTERN VERMONT MEDICAL CENTER INC.
Other - Org Name:SOUTHWESTERN VERMONT REGIONAL CANCER CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:LENKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-442-6361
Mailing Address - Street 1:140 HOSPITAL DR
Mailing Address - Street 2:SUITE 116
Mailing Address - City:BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05201-5009
Mailing Address - Country:US
Mailing Address - Phone:802-447-1836
Mailing Address - Fax:802-440-6097
Practice Address - Street 1:140 HOSPITAL DR
Practice Address - Street 2:SUITE 116
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-5009
Practice Address - Country:US
Practice Address - Phone:802-447-1836
Practice Address - Fax:802-440-6097
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHWESTERN VERMONT MEDICAL CENTER INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-08
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology