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GOOD NEIGHBOR HEALTH CLINIC NPI 1720365125


NPI Information

NPI: 1720365125
Provider Name: GOOD NEIGHBOR HEALTH CLINIC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 47D2286577

Address:
70 N MAIN ST
WHITE RIVER JUNCTION, VT
ZIP 05001
Phone: (802) 295-1868
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GOOD NEIGHBOR HEALTH CLINIC is a community health clinic center in White River Junction, VT. GOOD NEIGHBOR HEALTH CLINIC NPI is 1720365125. The provider is registered as an organization entity type.

The provider's business location address is:

70 N MAIN ST
WHITE RIVER JUNCTION, VT
ZIP 05001-061
Phone: (802) 295-1868
Fax: (802) 295-3600

The provider's authorized official is Hildegarde Ojibway .
The authorized official title is Executive Director and has the following contact phone number (802) 295-1868.

The CLIA number assigned to this NPI record is 47D2286577 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2011 and was last updated on 11/14/2011.


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
1261QC1500XClinic/CenterCommunity Health0420005381VERMONTYes

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

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