| Community Health Centers Of The Rutland Region, Inc. | |
|
1 General Wing Rd Rutland VT 05701-4681 | |
| (802) 773-9131 | |
| (802) 773-1551 |
| Full Name | Community Health Centers Of The Rutland Region, Inc. |
|---|---|
| Speciality | Pediatrics |
| Location | 1 General Wing Rd, Rutland, Vermont |
| Authorized Official Name and Position | Michael Gardner (FINANCE DIRECTOR) |
| Authorized Official Contact | 8028552083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Centers Of The Rutland Region, Inc. 71 Allen St Suite 101 Rutland VT 05701-4570 Ph: (800) 468-9118 | Community Health Centers Of The Rutland Region, Inc. 1 General Wing Rd Rutland VT 05701-4681 Ph: (802) 773-9131 |
| NPI Number | 1780969345 |
|---|---|
| Provider Enumeration Date | 10/14/2011 |
| Last Update Date | 01/18/2017 |
| Medicare PECOS PAC ID | 2961467386 |
|---|---|
| Medicare Enrollment ID | O20120223000784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780969345 | NPI | - | NPPES |
| 03891774 | Medicaid | NY | |
| 1019786 | Medicaid | VT | |
| 0471842 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
Vermont Physicians Clinic Dba Green Mountain Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 69 Allen St, Ste 203, Rutland, VT 05701 Phone: 802-775-7798 | |
Vermont Physicians Clinic Dba Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Allen St, Rutland, VT 05701 Phone: 802-773-4256 | |
Plume Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Merchants Row Ste 212, Rutland, VT 05701 Phone: 720-248-4483 | |
Vermont Physicians Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Commons St, Rutland, VT 05701 Phone: 802-773-1321 | |
Community Health Centers Of The Rutland Region, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Commons St, Rutland, VT 05701 Phone: 802-773-1321 | |
True Care Vermont, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9 Commons St, Rutland, VT 05701 Phone: 802-779-7522 Fax: 802-747-4061 | |
Associates In Internal Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 254 Stratton Rd, Suite 2, Rutland, VT 05701 Phone: 802-775-5531 Fax: 802-773-4697 |