Active NPI
Fletcher Allen Health Care,Inc
- Durable Medical Equipment & Medical Supplies
- Williston, VT
National Provider Identifier
1992893242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 668
- Legal business name
- FLETCHER ALLEN HEALTH CARE,INC
- Practice address
- 353 Blair Park Rd
Williston, VT 05495-7530 - Phone
- (802) 847-1882
- NPI assigned
- Oct 11, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Roger Deshaies
- Title
- Chief Financial Officer
- Phone
- (802) 847-5911
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 668 | VT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
353 Blair Park Rd
Williston, VT 05495-7530
Mailing address
PO Box 1063
Burlington, VT 05402-1063
Phone (802) 847-1882
Other names 1
NPPES NPI Registry- BLAIR PARK
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2009.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241395200000",
"number": "1992893242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1063",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054021063",
"telephone_number": "802-847-1882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 BLAIR PARK RD",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054957530",
"telephone_number": "802-847-1882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLETCHER ALLEN HEALTH CARE,INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2009-05-04",
"status": "A",
"authorized_official_last_name": "DESHAIES",
"authorized_official_first_name": "ROGER",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "802-847-5911",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "VT",
"license": "668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BLAIR PARK",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Williston, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.