COMMUNITY HEALTH CENTERS OF BURLINGTON INC NPI 1689678963

NPI Information

NPI: 1689678963
Provider Name: COMMUNITY HEALTH CENTERS OF BURLINGTON INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
CLIA Number: 47D2311864
Address: 617 RIVERSIDE AVE
BURLINGTON, VT
ZIP 05401
Phone: (802) 264-8159

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NPI Details

COMMUNITY HEALTH CENTERS OF BURLINGTON INC is a family medicine in Burlington, VT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COMMUNITY HEALTH CENTERS OF BURLINGTON INC NPI is 1689678963. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

617 RIVERSIDE AVE
BURLINGTON, VT
ZIP 05401-601
Phone: (802) 264-8159
Fax: (802) 860-4325

The provider's authorized official is Kate Reed .
The authorized official title is Interim Chief Executive Officer and has the following contact phone number (802) 264-8190.

The CLIA number assigned to this NPI record is 47D2311864 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2005 and was last updated on 2/24/2020.

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	207Q00000X	Family Medicine		24908	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	VT4600	OTHER	VERMONT	BLUE CROSS BLUE SHIELD
2	VT4600	OTHER	VERMONT	VERMONT MANAGED CARE
3	4600	MEDICAID	VERMONT
4	8000704	OTHER	VERMONT	LADIES FIRST

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: 11/21/2025

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