MT ANTHONY PRIMARY CARE
NPI 1235195454
Family Medicine in Bennington, VT

Active since April 25, 2006CLIA 47D0704694 · Microscopy
655 MAIN ST, BENNINGTON, VT 05201(802) 447-2343(802) 442-4636 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 29, 2022, Aug 22, 2020 (2 updates tracked since 2020).

  • Organization
  • Family Medicine
  • CLIA Number: 47D0704694
  • CLIA Cert. Type: Health Main. Organization
  • CLIA Exp. Date: 07-13-2028

About MT ANTHONY PRIMARY CARE

This page provides the complete NPI Profile along with additional information for Mt Anthony Primary Care, a primary care provider established in Bennington, Vermont operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1235195454 assigned on April 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Mt Anthony Primary Care operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Mt Anthony Primary Care. The authorized official of this NPI record is Jon W Asselin (Coo)

NPI
1235195454 Verify this NPI
Provider Legal Name
PRIMARY CARE HEALTH PARTNERS
Other Organization Name
MT ANTHONY PRIMARY CARE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
655 MAIN ST BENNINGTON, VT 05201
Location Phone
(802) 447-2343
Location Fax
(802) 442-4636
Mailing Address
66 KNIGHT LN STE 10 WILLISTON, VT 05495
Mailing Phone
(802) 872-4343
Mailing Fax
(802) 288-1144
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2006
Last Update Date
11-29-2022
Code Navigator

A primary care provider (PCP) like Mt Anthony Primary Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JON W ASSELIN

Authorized Official Title
COO
Authorized Official Phone
(802) 872-4326

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
47D0704694
Facility Type
Health Main. Organization
Certificate Effective Date
July 14, 2026
Certificate Expiration Date
July 13, 2028
Laboratory Director
DRANGINIS THERESE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Mt Anthony Primary Care in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for MT ANTHONY PRIMARY CARE

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Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Psychologist
655 MAIN ST
BENNINGTON, VT 05201
Family Medicine
655 MAIN ST
BENNINGTON, VT 05201
Naturopath
655 MAIN ST
BENNINGTON, VT 05201
Nurse Practitioner (Family)
655 MAIN ST
BENNINGTON, VT 05201
Occupational Therapist
655 MAIN ST
BENNINGTON, VT 05201
Physician Assistant
655 MAIN ST
BENNINGTON, VT 05201
Nurse Practitioner
655 MAIN ST, SUITE 1
BENNINGTON, VT 05201
Family Medicine
655 MAIN ST
BENNINGTON, VT 05201
Nurse Practitioner (Family)
655 MAIN ST
BENNINGTON, VT 05201
Family Medicine
655 MAIN ST, SUITE 1
BENNINGTON, VT 05201
Nurse Practitioner (Family)
655 MAIN ST
BENNINGTON, VT 05201
Nurse Practitioner (Family)
655 MAIN ST
BENNINGTON, VT 05201
Nurse Practitioner (Family)
655 MAIN ST
BENNINGTON, VT 05201
Counselor (Mental Health)
655 MAIN ST
BENNINGTON, VT 05201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235195454, enumerated as an "organization" on April 25, 2006.

The provider is located at 655 MAIN ST BENNINGTON, VT 05201 and the phone number is (802) 447-2343.

Family Medicine with taxonomy code 207Q00000X.