Rutland Region Collaborative Aco, LLC

NPI #1689949968 in Bomoseen, Vermont

Provider Information

NPI Number: 1689949968
Entity Type: Organization
Organization Name: Rutland Region Collaborative Aco, LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 20, 2012
Last Updated: Mar 20, 2012

Practice Location

Address: 275 ROUTE 30 N
City: Bomoseen
State: Vermont
ZIP Code: 05732-9647
Phone: (802) 468-5641

Authorized Official

Name: MICHAEL GARDNER
Title: FINANCE DIRECTOR
Phone: (802) 773-3386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Internal Medicine	207R00000X
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

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