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Contact Information

BENNINGTON COLLEGE HEALTH SERVICES
1 COLLEGE DRIVE
BENNINGTON, VT05201-0006
 Phone: 802-440-4426
 Fax: 802-440-4427
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BENNINGTON COLLEGE HEALTH SERVICES

NPI Number 1750596110
LBN Legal business name BENNINGTON COLLEGE HEALTH SERVICES
Authorized official RANDALL ANSELMO - (DIRECTOR OF HEALTH SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
VT License # 0260008617
VT License # 0260009599
VT License # 0260029265
VT License # 0420010651
Other CVT405C BOLLINGER INC
VT Other BENN00005278 BLUE CROSS BLUE SHIELD
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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