| Mountain Valley Health Center | |
|
38 Rte 11 Londonderry VT 05148-0310 | |
| (802) 824-6901 | |
| (802) 824-3602 |
| Full Name | Mountain Valley Health Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 38 Rte 11, Londonderry, Vermont |
| Authorized Official Name and Position | Robert Litchfield (PRACTICE MANAGER) |
| Authorized Official Contact | 8028246901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Valley Health Center Po Box 310 Londonderry VT 05148-0310 Ph: (802) 824-6901 | Mountain Valley Health Center 38 Rte 11 Londonderry VT 05148-0310 Ph: (802) 824-6901 |
| NPI Number | 1982897203 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982897203 | NPI | - | NPPES |
| 473829 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mountain Valley Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 Rt 11, Londonderry, VT 05148 Phone: 802-824-6901 | |
Springfield Medical Care Systems Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 38 Vermont Route 11, Londonderry, VT 05148 Phone: 802-824-6901 |