Orleans Medical Clinic

Organization Active NPI Rural Health Clinic/Center · Orleans, VT

NPI 1467540211 · NPPES record last updated Apr 27, 2009

Key facts

NPI
1467540211
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
License
0420007885 (VT)
Legal business name
ORLEANS MEDICAL CLINIC
Practice address
30 East St
Orleans, VT 05860-1230
Phone
(802) 754-2220
Fax
(802) 754-2195
NPI assigned
Oct 10, 2006
Organization subpart
No

Authorized official

Name
Dr. David Bourgeois, M.D.
Title
Owner
Phone
(802) 754-2220

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 0420007885 VT Yes

Addresses

Primary practice location

30 East St
Orleans, VT 05860-1230

Mailing address

30 East St
Orleans, VT 05860-1230
Phone (802) 754-2220

Other identifiers

IdentifierTypeStateIssuer
0473815MedicaidVT
00019768OtherVTBCBS #

Other providers in Orleans, VT

All providers in Orleans, VT · Rural Health Clinic/Center in Vermont

Sources for this page

Verify at the official NPI Registry.