| Mountain Health Center | |
|
61 Pine St Bristol VT 05443-1043 | |
| (802) 453-3911 | |
| (802) 453-6105 |
| Full Name | Mountain Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 61 Pine St, Bristol, Vermont |
| Authorized Official Name and Position | Martha A Halnon (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8024535116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Health Center 61 Pine St Bldg 4 Bristol VT 05443-1043 Ph: (802) 453-5028 | Mountain Health Center 61 Pine St Bristol VT 05443-1043 Ph: (802) 453-3911 |
| NPI Number | 1871840843 |
|---|---|
| Provider Enumeration Date | 08/09/2012 |
| Last Update Date | 03/30/2023 |
| Medicare PECOS PAC ID | 9638321342 |
|---|---|
| Medicare Enrollment ID | O20121204000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871840843 | NPI | - | NPPES |
| 471846 | Other | VT | MEDICARE PART A FQHC |
| 0471846 | Medicaid | VT | |
| 1021079 | Medicaid | VT |
| Provider Name | William H Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548246911 PECOS PAC ID: 8628012531 Enrollment ID: I20050613000265 |
| Provider Name | Tonya Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407020019 PECOS PAC ID: 8224946298 Enrollment ID: I20050628001093 |
| Provider Name | Deborah Wachtel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326029893 PECOS PAC ID: 1951347137 Enrollment ID: I20050629000078 |
| Provider Name | Suzanne C Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194765396 PECOS PAC ID: 2769406297 Enrollment ID: I20060123000866 |
| Provider Name | Martha L Redpath |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245359942 PECOS PAC ID: 4880786979 Enrollment ID: I20070821000284 |
| Provider Name | David B Turner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114010881 PECOS PAC ID: 0042292161 Enrollment ID: I20080922000109 |
| Provider Name | Charles Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609912427 PECOS PAC ID: 4688734072 Enrollment ID: I20081114000372 |
| Provider Name | Jeffrey Wulfman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063401537 PECOS PAC ID: 0042376741 Enrollment ID: I20090304000706 |
| Provider Name | Amber Jimerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255615696 PECOS PAC ID: 6305004698 Enrollment ID: I20120215000721 |
| Provider Name | Jessica C Lindert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265769210 PECOS PAC ID: 0941461818 Enrollment ID: I20120420000023 |
| Provider Name | Genevieve Williamson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932237294 PECOS PAC ID: 0244474294 Enrollment ID: I20130913000285 |
| Provider Name | Kate Lamancuso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033521778 PECOS PAC ID: 3577852391 Enrollment ID: I20171107001542 |
| Provider Name | Charles A Biss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750883856 PECOS PAC ID: 4385906858 Enrollment ID: I20180321000533 |
| Provider Name | Brian D Bates |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518387422 PECOS PAC ID: 0143448027 Enrollment ID: I20180407000041 |
| Provider Name | Shauna Mckeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104145069 PECOS PAC ID: 2365566833 Enrollment ID: I20190827001209 |
| Provider Name | Kielee Beth Pelland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386286375 PECOS PAC ID: 9537595145 Enrollment ID: I20200130000306 |
| Provider Name | Jennifer Wisdom Behounek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497858278 PECOS PAC ID: 6305991290 Enrollment ID: I20201015003107 |
| Provider Name | Lindsay E White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255576294 PECOS PAC ID: 6709192800 Enrollment ID: I20211123000704 |
| Provider Name | Marthe M Bryant Connah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982067971 PECOS PAC ID: 5193152601 Enrollment ID: I20220613001999 |
| Provider Name | Pierre Morin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1790292860 PECOS PAC ID: 3476932559 Enrollment ID: I20220621000058 |
| Provider Name | Mohammed M Ahmed |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1871223792 PECOS PAC ID: 6103298856 Enrollment ID: I20230207001931 |
Mountain Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Mountain St, Bristol, VT 05443 Phone: 802-453-5028 Fax: 802-453-6105 | |
Porter Hospital Inc Dba Bristol Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Park Pl, Bristol, VT 05443 Phone: 802-453-7422 Fax: 802-453-3071 | |
Bristol Internal Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Park Pl, Bristol, VT 05443 Phone: 802-453-7422 |