NPIMap

Organization Active NPI

University of Vermont Medical Center Inc

Doing business as University of Vermont Medical Center Home Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • S Burlington, VT
National Provider Identifier
1770933897
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
844 Issued in VT
Legal business name
UNIVERSITY OF VERMONT MEDICAL CENTER INC
Doing business as
University of Vermont Medical Center Home Dialysis
Practice address
35 Joy Dr
S Burlington, VT 05403-6119
Phone
(802) 847-7000
NPI assigned
Jun 20, 2016
Last updated
Jun 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Mr. Richard J Vincent
Title
Chief Financial Officer
Phone
(802) 847-2089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 844 VT Primary

Addresses

Primary practice location

35 Joy Dr
S Burlington, VT 05403-6119

Mailing address

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Other names 1

  • University of Vermont Medical Center Home Dialysis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Ctr Nursing Hom22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1770933897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JOY DR",
            "city": "S BURLINGTON",
            "state": "VT",
            "postal_code": "054036119",
            "telephone_number": "802-847-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF VERMONT MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "802-847-2089",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "VT",
            "license": "844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Vermont Medical Center Home Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in S Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.