Mad River Internal Medicine in Waitsfield - Specialist
Mad River Internal Medicine - NPI 1730148966
Mad River Internal Medicine is a Specialist in Waitsfield, Vermont. Mad River Internal Medicine practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mad River Internal Medicine is 1730148966. The last update date is 2020-08-22.
Mad River Internal Medicine's current location address is 5360 Main St, Waitsfield, Vermont. You can contact this provider via phone number 8024962202 and fax number 8024962223. The mailing address for Mad River Internal Medicine is 5360 Main St, Waitsfield, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mad River Internal Medicine |
|---|---|
| Address | 5360 Main St, Waitsfield, Vermont |
| Phone Number | 8024962202 |
| Fax Number | 8024962223 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Wargo J Timothy |
| Credentials | M.D. |
| Telephone Number | 8024962202 |
NPI Number Detail
| NPI Number | 1730148966 |
|---|---|
| Provider Enumeration Date | 2006-03-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5360 Main St |
|---|---|
| City | Waitsfield |
| State | Vermont (VT) |
| Post Code | 56736003 |
| Phone Number | 8024962202 |
| Fax Number | 8024962223 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1012198 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mad River Internal Medicine by the Centers for Medicare & Medicaid Services?
The Mad River Internal Medicine has been assigned the NPI (National Provider Identifier) 1730148966 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mad River Internal Medicine's facilities are situated?
The facilities of Mad River Internal Medicine are physically located at the following address: 5360 Main St, Waitsfield, VT, 56736003.
What is Mad River Internal Medicine's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mad River Internal Medicine's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Mad River Internal Medicine receive the assignment of its 1730148966 from the Centers for Medicare & Medicaid Services?
The Mad River Internal Medicine was issued its 1730148966 by the Centers for Medicare & Medicaid Services on 2006-03-17.
When was the information regarding Mad River Internal Medicine most recently updated?
The details pertaining to the Mad River Internal Medicine, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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