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Contact Information

MAXI GREEN INC
55 SPRINGFIELD PLAZA ROAD
SPRINGFIELD, VT05156
 Phone: 802-885-1065
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for MAXI GREEN INC

NPI # 1093721201
LBN Legal business name MAXI GREEN INC
Authorized official JENNIFER ZOREK - (MANAGER ONLINE ADJUDICATION)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2006
Last updated 10/19/2020 - About 6 years ago
Identifiers
VT License # 380003326
NH Medicaid 30707434
VT Medicaid 1007888
Other 4703840 OTHER ID NUMBER-COMMERCIAL NUMBER
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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