Brattleboro Retreat
Psychiatric Hospital
22 Anna Marsh Lane, Brattleboro
Vermont, 05302-0803
802-257-7785 802-258-3723
Brattleboro Retreat is a Psychiatric Hospital in Brattleboro, Vermont. It is located at 22 Anna Marsh Lane, Brattleboro and it's customer support contact number is 802-257-7785. The authorized person of Brattleboro Retreat is Autumn Kendall who is Staff of the pharmacy and his contact number is 802-258-4310. Active license number of Brattleboro Retreat is 649 for Psychiatric Hospital in Vermont. Brattleboro Retreat accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Brattleboro Retreat is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Pharmacy Details:
Brattleboro Retreat type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Brattleboro Retreat |
| Type: | Psychiatric Hospital |
| Location: | 22 Anna Marsh Lane, Brattleboro,
Vermont, 05302-0803 |
| Phone: | 802-257-7785 |
| Fax: | 802-258-3723 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Autumn Kendall |
| Position: | Staff |
| Contact Number: | 802-258-4310 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1730185232 |
| NPI Enumeration Date: | 21 Jun, 2005 |
| NPI Last Update On: | 07 Oct, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brattleboro Retreat are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychiatric Hospital | 649 | Vermont | Primary | |
| Adolescent and Children Mental Health | | | Secondary | |
| Mental Health (Including Community Mental Health Center) | | | Secondary | |
| Adult Mental Health | | | Secondary | |
| Multi-Specialty | | | Secondary | |
| Clinic Pharmacy | | | Secondary | |
| Institutional Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0474001 | Medicaid | Vermont | |
Medicare Enrollment:
Brattleboro Retreat is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7012828908 | O20041123000627 | Brattleboro Retreat | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 7012828908 | O20050119000365 | Brattleboro Retreat | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 7012828908 | O20070124000137 | Brattleboro Retreat | PART A PROVIDER - HOSPITAL |
| 7012828908 | O20080305000122 | Brattleboro Retreat | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 101,
Brattleboro, Vermont |
| Zip: | 05302-0101 |
| Phone Number: | 802-257-7785 |
| Fax Number: | 802-258-3798 |
Patients can reach Brattleboro Retreat at
22 Anna Marsh Lane, Brattleboro, Vermont or can
call on customer care at 802-257-7785.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.