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COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION INC. NPI 1780969345


NPI Information

NPI: 1780969345
Provider Name: COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC.

Doing Business As: CHCRR PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 47D0091805

Address:
1 GENERAL WING RD
RUTLAND, VT
ZIP 05701
Phone: (802) 773-9131
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COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. is a pediatrics in Rutland, VT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. NPI is 1780969345. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Chcrr Pediatrics.

The provider's business location address is:

1 GENERAL WING RD
RUTLAND, VT
ZIP 05701-681
Phone: (802) 773-9131
Fax: (802) 773-1551

The provider's authorized official is Michael Gardner .
The authorized official title is Finance Director and has the following contact phone number (802) 855-2083.

The CLIA number assigned to this NPI record is 47D0091805 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2011 and was last updated on 1/18/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10471842MEDICAIDVERMONT
21019786MEDICAIDVERMONT
347-1842MEDICARE PINVERMONT
403891774MEDICAIDNEW YORK
5VN357202MEDICARE PINVERMONT

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

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