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MAD RIVER INTEGRATIVE MEDICINE
NPI 1114086808
Clinic/Center - Primary Care in Waitsfield, VT

Active since December 08, 2006
5360 MAIN ST, STE 2, WAITSFIELD, VT 05673(802) 496-2202(802) 496-2223 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mad River Integrative Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAD RIVER INTEGRATIVE MEDICINE (NPI 1114086808) is a healthcare organization registered as a primary care in Waitsfield, Vermont and active in the NPI registry since December 2006. The organization lists Timothy J Wargo, President, as its authorized official.

NPPES Registry Identity

NPI1114086808
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMAD RIVER INTEGRATIVE MEDICINE
Location Address5360 MAIN ST, STE 2Waitsfield, VT 05673-6003
Mailing Address5360 Main St, Ste 2Waitsfield, VT 05673-6003 · (802) 496-2202 · Fax (802) 496-2223
Phone(802) 496-2202
Fax(802) 496-2223
Organization SubpartNo
Authorized OfficialTimothy J WargoPresident · (802) 496-2202
Enumeration DateDecember 8, 2006
Last NPPES UpdateApril 1, 2008
✔ NPI 1114086808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in VT · 042-0007289
5360 MAIN ST, Waitsfield, VT 05673
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Other Identifiers 1

Medicare PINVN4127VT

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAD RIVER INTEGRATIVE MEDICINE
Family Medicine
5360 MAIN ST, SUITE 2
WAITSFIELD, VT 05673
Washington County (802) 496-2202
MAD RIVER INTERNAL MEDICINE
Specialist
5360 MAIN ST, STE. 2
WAITSFIELD, VT 05673
Washington County (802) 496-2202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mad River Integrative Medicine's NPI number?

The NPI number for Mad River Integrative Medicine is 1114086808. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is Mad River Integrative Medicine located?

Mad River Integrative Medicine is located at 5360 Main St Ste 2, Waitsfield, VT 05673. The listed phone number is (802) 496-2202.

What is Mad River Integrative Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Mad River Integrative Medicine was last updated on April 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.