LITTLE RIVERS HEALTH CARE INC. NPI 1629554761

NPI Information

NPI: 1629554761
Provider Name: LITTLE RIVERS HEALTH CARE, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2420 ROUTE 302
WELLS RIVER, VT
ZIP 05081
Phone: (802) 757-2711
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LITTLE RIVERS HEALTH CARE, INC. is a federally qualified health center (fqhc) clinic center in Wells River, VT. LITTLE RIVERS HEALTH CARE, INC. NPI is 1629554761. The provider is registered as an organization entity type.

The provider's business location address is:

2420 ROUTE 302
WELLS RIVER, VT
ZIP 05081-750
Phone: (802) 757-2711

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

The enumeration date for this NPI number is 7/12/2018 and was last updated on 7/12/2018.

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	1316165129	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: 4/28/2024

NPI Synchronization or Removal

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