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Contact Information

CLARA MARTIN CENTER
11 S MAIN ST
RANDOLPH, VT05060-1330
 Phone: 802-728-4466
 Fax: 802-728-4197
 Website:
Indicates primary specialty

NPI Profile & details for CLARA MARTIN CENTER

NPI # 1386710861
LBN Legal business name CLARA MARTIN CENTER
Authorized official TIMOTHY ROSS - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2006
Last updated 09/16/2025 - About 9 months ago
Identifiers
VT Medicaid 00006178
VT Medicaid 1003145
VT Medicaid 1006421
VT Medicaid 1007256
VT Medicaid 1009814
VT Medicaid 1009815
VT Other 50Y083800VT01 ANTHEM
VT Other 00800321 BLUE CROSS
VT Other VT6178 BLUE CROSS
VT Other 1027774 CIGNA
VT Other 63909 MVP
VT Other 63909A MVP
VT Other 63909C MVP
VT Other 93909 MVP
VT Other 93909A MVP
VT Other 93909C MVP
VT Other T000381 TRICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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