| Little Rivers Health Care, Inc. | |
|
2689 Vt 113 Thetford VT 05047 | |
| (802) 222-3026 | |
| (802) 222-5654 |
| Full Name | Little Rivers Health Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2689 Vt 113, Thetford, Vermont |
| Authorized Official Name and Position | Andrew Barter (CEO) |
| Authorized Official Contact | 8022224637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Rivers Health Care, Inc. Po Box 8 Newbury VT 05051-0008 Ph: (802) 222-3026 | Little Rivers Health Care, Inc. 2689 Vt 113 Thetford VT 05047 Ph: (802) 222-3026 |
| NPI Number | 1659030187 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 05/24/2023 |
| Medicare PECOS PAC ID | 8224031497 |
|---|---|
| Medicare Enrollment ID | O20220211001317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659030187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Licia Berry-berard, Msw, Licsw Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 321 Route 113, Thetford, VT 05054 Phone: 802-565-0424 |