Rutland Region Collaborative Aco, Llc in Bomoseen, VT - Family Medicine

Rutland Region Collaborative Aco, Llc is a mental health clinic (Family Medicine) in Bomoseen, Vermont. The current practice location for Rutland Region Collaborative Aco, Llc is 275 Route 30 N, Bomoseen, Vermont. For appointments, you can reach them via phone at (802) 468-5641. The mailing address for Rutland Region Collaborative Aco, Llc is 275 Route 30 N, Bomoseen, Vermont and phone number is (802) 468-5641.

Rutland Region Collaborative Aco, Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1689949968. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (802) 468-5641.

Contact Information

	Rutland Region Collaborative Aco, Llc
	275 Route 30 N Bomoseen VT 05732-9647
	(802) 468-5641
	(802) 468-2923

Mental Health Clinic Profile

Full Name	Rutland Region Collaborative Aco, Llc
Speciality	Family Medicine
Location	275 Route 30 N, Bomoseen, Vermont
Authorized Official Name and Position	Michael Gardner (FINANCE DIRECTOR)
Authorized Official Contact	8027733386
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Rutland Region Collaborative Aco, Llc 275 Route 30 N Bomoseen VT 05732-9647 Ph: (802) 468-5641	Rutland Region Collaborative Aco, Llc 275 Route 30 N Bomoseen VT 05732-9647 Ph: (802) 468-5641

NPI Details:

NPI Number	1689949968
Provider Enumeration Date	03/20/2012
Last Update Date	03/20/2012

Medical Identifiers

Medical identifiers for Rutland Region Collaborative Aco, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689949968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
104100000X	Social Worker	(* (Not Available))	Secondary
207Q00000X	Family Medicine	(* (Not Available))	Primary
207R00000X	Internal Medicine	(* (Not Available))	Secondary
363A00000X	Physician Assistant	(* (Not Available))	Secondary

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Rutland Region Collaborative Aco, Llc - Mental Health Clinic in Bomoseen, VT