Organization Active NPI

Southwestern Vermont Medical Center Inc.

Doing business as Southwestern Vermont Regional Cancer Center

  • Oncology Clinic/Center
  • Bennington, VT
National Provider Identifier
1962650556
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
Legal business name
SOUTHWESTERN VERMONT MEDICAL CENTER INC.
Doing business as
Southwestern Vermont Regional Cancer Center
Practice address
140 Hospital Dr
Suite 116
Bennington, VT 05201-5009
Phone
(802) 447-1836
Fax
(802) 440-6097
NPI assigned
Sep 8, 2008
Last updated
Sep 18, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWESTERN VERMONT MEDICAL CENTER INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Thomas Lenkowski
Title
Cfo
Phone
(802) 442-6361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X NU Primary

Addresses

Primary practice location

140 Hospital Dr
Suite 116
Bennington, VT 05201-5009

Mailing address

140 Hospital Dr
Suite 116
Bennington, VT 05201-5009
Phone (802) 447-1836

Other names 1

  • Southwestern Vermont Regional Cancer Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060929000045 VT Part B Supplier - Clinic/Group Practice 0143138446 Receives reassigned benefits from 145 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bennington, VT

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
SVMC Dept of Psy

Locations

140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1962650556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HOSPITAL DR",
            "address_2": "SUITE 116",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015009",
            "telephone_number": "802-447-1836",
            "fax_number": "802-440-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HOSPITAL DR",
            "address_2": "SUITE 116",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015009",
            "telephone_number": "802-447-1836",
            "fax_number": "802-440-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN VERMONT MEDICAL CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWESTERN VERMONT MEDICAL CENTER INC.",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "LENKOWSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "802-442-6361"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwestern Vermont Regional Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bennington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.