LITTLE RIVERS HEALTH CARE INC. NPI 1033163555

NPI Information

NPI: 1033163555
Provider Name: LITTLE RIVERS HEALTH CARE, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
437 S MAIN ST
BRADFORD, VT
ZIP 05033
Phone: (802) 222-9276
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LITTLE RIVERS HEALTH CARE, INC. is a primary care clinic center in Bradford, VT. LITTLE RIVERS HEALTH CARE, INC. NPI is 1033163555. The provider is registered as an organization entity type.

The provider's business location address is:

437 S MAIN ST
BRADFORD, VT
ZIP 05033-877
Phone: (802) 222-9276

The provider's authorized official is Andrew Barter .
The authorized official title is Ceo and has the following contact phone number (802) 222-4637.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 5/24/2023.

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 Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			No
2	261QP2300X	Clinic/Center	Primary Care			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
1	1012614	MEDICAID	VERMONT
2	1012615	MEDICAID	VERMONT
3	30514747	MEDICAID	NEW HAMPSHIRE
4	30214368	MEDICAID	NEW HAMPSHIRE
5	30514771	MEDICAID	NEW HAMPSHIRE
6	30214359	MEDICAID	NEW HAMPSHIRE
7	30514746	MEDICAID	NEW HAMPSHIRE
8	30214346	MEDICAID	NEW HAMPSHIRE

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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