Private Healthcare Facilities
Clinic/Center, Birthing in Randolph, VT. Organization (NPI-2).
NPI number1982173548
StatusActive
Last updated in NPPESJun 10, 2024
Details
- NPI
- 1982173548
- Entity type
- Organization (NPI-2)
- Legal business name
- Private Healthcare Facilities
- Organization subpart
- Yes
- Enumeration date
- Nov 13, 2018
- Certification date
- Jun 10, 2024
- Last updated
- Jun 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QB0400X | Clinic/Center, Birthing | – | – | Yes |
Practice location
2 S Main St Ste 3Randolph, VT 05060-1367
Phone 866-996-2340
Mailing address
902 Kitty Hawk Rd # 170487Universal City, TX 78148-3825
Phone 866-996-2340 · Fax 888-329-2091
Authorized official
Priscilla Hollingsworth
Office Staff
8669962340
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