NPIMap

Southwestern Vermont Medical Center Inc.

Organization Active NPI Internal Medicine Physician · Bennington, VT

NPI 1184994162 · NPPES record last updated Dec 31, 2012

Key facts

NPI
1184994162
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
SOUTHWESTERN VERMONT MEDICAL CENTER INC.
Practice address
140 Hospital Dr
Bennington, VT 05201-5009
Phone
(802) 442-6361
Fax
(802) 447-2090
NPI assigned
Jan 6, 2012
Organization subpart
Yes
Parent organization (as reported)
SOUTHWESTERN VERMONT MEDICAL CENTER INC.

Authorized official

Name
Thomas Dee
Title
Ceo
Phone
(802) 442-6361

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 229

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 229

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120613000217 VT Part B Supplier - Clinic/Group Practice 0143138446 Receives reassigned benefits from 162 practitioners
1 other NPI on this enrollment
Practice locations: West Dover, VT; Pownal, VT; Manchester Center, VT; Bennington, VT

National Provider Directory

Part of
Southwestern Vermont

Locations

140 Hospital Dr
Ste 211
Bennington, VT 05201
Phone (802) 442-0800

100 South St
Bennington, VT 05201
Phone (802) 464-5311

140 Hospital Dr
Ste 111
Bennington, VT 05201
Phone (719) 362-7244

5957 Main St
#7A
Manchester Center, VT 05255
Phone (802) 362-4440

30 Vt Route 100 S
Wilmington, VT 05363
Phone (802) 464-3151

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207K00000X
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0000X
Gastroenterology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RG0100X
Hematology & Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RH0003X
Infectious Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RI0200X
Rheumatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RR0500X
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207V00000X
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X
Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084P0800X
Radiation Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0001X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X
Urology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208800000X
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208D00000X

Addresses

Primary practice location

140 Hospital Dr
Bennington, VT 05201-5009

Mailing address

140 Hospital Dr
Bennington, VT 05201-5009
Phone (802) 442-6361

Other providers in Bennington, VT

All providers in Bennington, VT · Internal Medicine Physician in Vermont

Sources for this page

Verify at the official NPI Registry.