FIVE-TOWN HEALTH ALLIANCE INC NPI 1871840843

NPI Information

NPI: 1871840843
Provider Name: FIVE-TOWN HEALTH ALLIANCE, INC

Doing Business As: MOUNTAIN HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
61 PINE ST
BRISTOL, VT
ZIP 05443
Phone: (802) 453-3911
Get Directions

FIVE-TOWN HEALTH ALLIANCE, INC is a federally qualified health center (fqhc) clinic center in Bristol, VT. FIVE-TOWN HEALTH ALLIANCE, INC NPI is 1871840843. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mountain Health Center.

The provider's business location address is:

61 PINE ST
BRISTOL, VT
ZIP 05443-043
Phone: (802) 453-3911
Fax: (802) 453-6105

The provider's authorized official is Martha A Halnon .
The authorized official title is Chief Executive Officer and has the following contact phone number (802) 453-5116.

The enumeration date for this NPI number is 8/9/2012 and was last updated on 3/30/2023.

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 State	Primary
1	207Q00000X	Family Medicine			No
2	261QD0000X	Clinic/Center	Dental		No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	VERMONT	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	471846	OTHER	VERMONT	MEDICARE PART A FQHC
2	0471846	MEDICAID	VERMONT
3	1021079	MEDICAID	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: 5/5/2024

NPI Synchronization or Removal

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