Provider Demographics
NPI:1457979130
Name:SPRINGFIELD MEDICAL CARE SYSTEMS INC
Entity Type:Organization
Organization Name:SPRINGFIELD MEDICAL CARE SYSTEMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PRIMARY CARE OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:TWOMBLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-886-8901
Mailing Address - Street 1:100 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05156-2930
Mailing Address - Country:US
Mailing Address - Phone:802-886-8901
Mailing Address - Fax:802-886-8949
Practice Address - Street 1:140 CLINTON ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VT
Practice Address - Zip Code:05156-3304
Practice Address - Country:US
Practice Address - Phone:802-886-8900
Practice Address - Fax:802-886-8949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)