MT ANTHONY PRIMARY CARE
NPI 1235195454
Family Medicine in Bennington, VT
About Mt Anthony Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MT ANTHONY PRIMARY CARE (NPI 1235195454) is a healthcare organization registered as a family medicine in Bennington, Vermont and active in the NPI registry since April 2006. The organization holds a CLIA Microscopy certificate valid through July 13, 2028 and lists Jon W Asselin, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
Group Practice 1
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.
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Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
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.
