Provider Demographics
NPI:1134398100
Name:BEECHER FALLS CLINIC LLC
Entity type:Organization
Organization Name:BEECHER FALLS CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE MANAGER AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHAPIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-237-8482
Mailing Address - Street 1:106 RIVER ROAD
Mailing Address - Street 2:
Mailing Address - City:BEECHER FALLS
Mailing Address - State:VT
Mailing Address - Zip Code:05902
Mailing Address - Country:US
Mailing Address - Phone:603-237-8482
Mailing Address - Fax:
Practice Address - Street 1:106 RIVER ROAD
Practice Address - Street 2:
Practice Address - City:BEECHER FALLS
Practice Address - State:VT
Practice Address - Zip Code:05902
Practice Address - Country:US
Practice Address - Phone:603-237-8482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12369207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty