| Indian Stream Health Center, Inc | |
|
253 Gale St Canaan Site Canaan VT 05903 | |
| (603) 237-8336 | |
| (603) 237-4467 |
| Full Name | Indian Stream Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 253 Gale St, Canaan, Vermont |
| Authorized Official Name and Position | Jonathan Brown (CEO) |
| Authorized Official Contact | 6033882426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Stream Health Center, Inc 141 Corliss Ln Canaan Site Colebrook NH 03576-3206 Ph: (603) 237-8336 | Indian Stream Health Center, Inc 253 Gale St Canaan Site Canaan VT 05903 Ph: (603) 237-8336 |
| NPI Number | 1215367891 |
|---|---|
| Provider Enumeration Date | 11/19/2013 |
| Last Update Date | 03/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215367891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |