Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rutland Region Collaborative ACO, LLC

Organization Social Worker · NPI 1689949968

Rutland Region Collaborative ACO, LLC is a Social Worker in Bomoseen, Vermont. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

275 Route 30 N
Bomoseen, VT 05732-9647
Phone: (802) 468-5641
Fax: (802) 468-2923
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Social Worker Taxonomy 104100000X
Internal Medicine Physician Taxonomy 207R00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1689949968
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Gardner — Finance Director · (802) 773-3386
NPI enumeratedMarch 20, 2012
Last updated in NPPESMarch 20, 2012
Mailing address275 Route 30 N, Bomoseen, VT 05732-9647

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