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Contact Information

YANKEE MEDICAL INC
276 NORTH AVE
BURLINGTON, VT05401-2918
 Phone: 802-863-4591
 Fax: 802-658-3101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for YANKEE MEDICAL INC

NPI # 1174528640
LBN Legal business name YANKEE MEDICAL INC
Authorized official JOHN FICOCIELLO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2005
Last updated 05/07/2008 - About 18 years ago
Identifiers
MA Medicaid 7502028
NH Medicaid 99007330
NY Medicaid 00358269
VT Medicaid 0007330
NH Other 1200915YONH01 DME/BCBS OF NH
VT Other YAV7330 DME/BCBS
VT Other 1505 DME/MVP
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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