COMMUNITY HEALTH CENTERS OF BURLINGTON INC NPI 1083832851

NPI Information

NPI: 1083832851
Provider Name: COMMUNITY HEALTH CENTERS OF BURLINGTON INC

Other Name: CHCB

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
617 RIVERSIDE AVE
BURLINGTON, VT
ZIP 05401
Phone: (802) 864-6309
Get Directions

COMMUNITY HEALTH CENTERS OF BURLINGTON INC is a federally qualified health center (fqhc) clinic center in Burlington, VT. COMMUNITY HEALTH CENTERS OF BURLINGTON INC NPI is 1083832851. The provider is registered as an organization entity type.
The provider Other Name Is Chcb.

The provider's business location address is:

617 RIVERSIDE AVE
BURLINGTON, VT
ZIP 05401-601
Phone: (802) 864-6309
Fax: (802) 860-4325

The provider's authorized official is David Simmons .
The authorized official title is Chief Financial Officer and has the following contact phone number (802) 864-6309.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 12/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0000F02	MEDICAID	VERMONT
2	VT4600	OTHER	VERMONT	BLUE CROSS BLUE SHIELD
3	471843	MEDICARE PIN	VERMONT
4	471800	MEDICARE PIN	VERMONT
5	471841	MEDICARE PIN	VERMONT
6	471840	MEDICARE PIN	VERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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