Organization Active NPI

Orleans Medical Clinic

  • Rural Health Clinic/Center
  • Orleans, VT
National Provider Identifier
1467540211
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
0420007885 Issued in 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
Last updated
Apr 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

30 East St
Orleans, VT 05860-1230

Mailing address

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

National Provider Directory

National Provider Directory

Locations

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1467540211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EAST ST",
            "city": "ORLEANS",
            "state": "VT",
            "postal_code": "058601230",
            "telephone_number": "802-754-2220",
            "fax_number": "802-754-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 EAST ST",
            "city": "ORLEANS",
            "state": "VT",
            "postal_code": "058601230",
            "telephone_number": "802-754-2220",
            "fax_number": "802-754-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLEANS MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "BOURGEOIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-754-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "VT",
            "license": "0420007885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orleans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.