Actd,LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Colchester, VT
NPI 1508342114 · NPPES record last updated Jul 5, 2019
Key facts
- NPI
- 1508342114
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- ACTD,LLC
- Practice address
- 593 Hercules Dr
Colchester, VT 05446-0544 - Phone
- (802) 488-5350
- NPI assigned
- Jul 17, 2018
- Organization subpart
- No
Authorized official
- Name
- Heather Bartlett
- Title
- Clinical Director
- Phone
- (802) 488-5350
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Actd LLC Dba Green Mountain Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 47D2152213 | Green Mountain Surgery Center | Certificate of waiver | Aug 5, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181010000351 | VT | Part B Supplier - Ambulatory Surgical Center | 7719239326 | Practice locations: Colchester, VT |
National Provider Directory
Locations
525 Hercules Dr
Colchester, VT 05446
Phone (802) 264-5333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
593 Hercules Dr
Colchester, VT 05446-0544
Mailing address
593 Hercules Dr
Colchester, VT 05446-5993
Phone (802) 488-5350
Other practice location 1
525 Hercules Dr
Colchester, VT 05446-5993
Phone (802) 488-5350
Other names
- Green Mountain Surgery Center
Other providers in Colchester, VT
- Joseph Anthony Abate III
- Tara Jenet Abele
- Judy Lynn Aber
- Julie Spencer Adams
- Age Well, Inc.
- Bonnie Jean Aharonian
- Emily Aiken
- Monique Albuja
All providers in Colchester, VT · Ambulatory Surgical Clinic/Center in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.