| Organization Name: | ORLEANS MEDICAL CLINIC |
| NPI Number: | 1467540211 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID BOURGEOIS (OWNER) |
| Mailing Address: | 30 East St Orleans |
| State: | VT US |
| Postal Code: | 058601230 |
| Phone Number: | 8027542220 |
| Fax Number: | 8027542195 |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 04/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 0420007885 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |