Brattleboro Retreat
Organization Active NPI Institutional Pharmacy · Brattleboro, VT
NPI 1295947950 · NPPES record last updated Nov 1, 2007
Key facts
- NPI
- 1295947950
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Institutional Pharmacy 3336I0012X
- License
- 037-0001682 (VT)
- Legal business name
- BRATTLEBORO RETREAT
- Practice address
- Anna Marsh Lane
Brattleboro, VT 05301 - Phone
- (802) 257-7785
- NPI assigned
- May 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Robert Simpson
- Title
- Ceo
- Phone
- (802) 257-7785
Corporate family (same tax ID) 4
Practitioners 107
-
Pamela Lynn Adams Lackey, PA-C
-
Percy Ballantine, MD
-
Sandra Campbell, PHD
-
Milangel Thaymee Concepcion Zayas, MD, MPH
-
Stephanie Cryer, LICSW
-
Matthew Dove, FNP-C
-
Sarah Kay Dudley, APRN
-
Susan M Fields, LICSW
-
Darcy Gingerich, LMHC
-
Mario Hasaj, MD
-
Elizabeth H Joseph, D.O.
-
Timothy Kanczuga, FNP-BC
-
Rachael Kandath, MD
-
Geoffrey Kane, MD
-
Jenny V Karstad, LCMHC
-
Patricia Mary Kijak, APRN
-
William Knorr, MD
National Provider Directory
- Tax ID family
- Brattleboro Retreat Alt
Locations
22 Anna Marsh Ln
Dummerston, VT 05301
Phone (802) 258-3700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Institutional Pharmacy | 3336I0012X | 037-0001682 | VT | Yes |
Addresses
Primary practice location
Anna Marsh Lane
Brattleboro, VT 05301
Mailing address
PO Box 101
Brattleboro, VT 05302-0101
Phone (802) 257-7785
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1005229 | Medicaid | VT |
Other names
- Retreat Healthcare
Other providers in Brattleboro, VT
- Brattleboro Memorial Hospital
- Brattleboro Mutual Aid Association, Inc.
- Brattleboro Pastoral Counseling Center Inc
- Brattleboro Retreat
- Brattleboro Retreat
- Brattleboro Retreat
- Brattleboro Retreat
- Brattleboro Retreat
- Kristin LW Bratton
- Bratttleboro Anesthesia Associates PC
All providers in Brattleboro, VT · Institutional Pharmacy in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.