NORTHERN COUNTIES HEALTH CARE, INC. (NPI# 1114044344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114044344 |
| Entity Type | Organization |
| Organization Name | NORTHERN COUNTIES HEALTH CARE, INC. |
| Other Organization Name | NORTHERN COUNTIES DENTAL CENTER |
| Practice Address |
151 North Main Street Hardwick VT 05843 |
| Mailing Address |
165 Sherman Drive St. Johnsbury VT 05819 |
| Practice Telephone | 8024722260 |
| Practice Fax Number | 8024722263 |
| Mailing Telephone | 8027489405 |
| Mailing Fax Number | 8027484540 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2014-01-30 |
| Authorized Official Name | PATRICK FLOOD (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Telephone | 8027489405 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN COUNTIES HEALTH CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | BC GROUP NUMBER | 2332 | 01 |
| Other Name | Type Code |
|---|---|
| Northern Counties Dental Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255458501 | Northern Counties Health Care, Inc. | Clinic/Center | 26 Cedar Lane, Danville, VT 05819 | 2007-03-23 |
| 1174656201 | Northern Counties Health Care, Inc. | Home Health | 161 Sherman Drvie, St. Johnsbury, VT 05819 | 2007-03-14 |
| 1841225281 | Northern Counties Health Care, Inc. | Home Health | 161 Sherman Drive, Saint Johnsbury, VT 05819 | 2006-07-12 |
| 1518960137 | Northern Counties Health Care, Inc. | Hospice Care, Community Based | 161 Sherman Dr, St Johnsbury, VT 05819-9811 | 2005-05-27 |
| 1346413945 | Northern Counties Health Care, Inc. | Hospice Care, Community Based | 161 Sherman Dr, St Johnsbury, VT 05819-9811 | 2008-04-04 |
| 1992822555 | Northern Counties Health Care, Inc. | Clinic/Center | 82 Maple Street, Island Pond, VT 05846 | 2007-03-26 |
| 1295852549 | Northern Counties Health Care, Inc. | Clinic/Center | 201 East Main St, Concord, VT 05824 | 2007-03-23 |
| 1851418230 | Northern Counties Health Care, Inc. | Clinic/Center | 185 Sherman Drive, Suite 1, St Johnsbury, VT 05819 | 2007-03-23 |
| 1194842450 | Northern Counties Health Care, Inc. | Clinic/Center | 4 Slapp Hill Road, Hardwick, VT 05843 | 2007-03-23 |
| 1982728408 | Northern Counties Health Care, Inc. | Home Health | 161 Sherman Drive, St. Johnsbury, VT 05819 | 2007-03-19 |
| Street Address |
151 NORTH MAIN STREET |
| City | HARDWICK |
| State | VT |
| Zip Code | 05843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184947855 | Adrienne Rulon | Dentist | 151 North Main Street, Hardwick, VT 05843-0537 | 2010-03-09 |
| 1598905267 | Melissa Boisvert | Dental Hygienist | 151 North Main Street, Hardwick, VT 05843-0537 | 2009-02-20 |
| 1184880809 | Edwin Joseph Olsen | Dentist | 151 North Main Street, Hardwick, VT 05843-0537 | 2008-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366825457 | Priya Vasa | Dentist | 49 West Church Street, Hardwick, VT 05843 | 2015-07-07 |
| 1134527559 | Orleans Sw Supervisory Union | Local Education Agency (LEA) | 157 Daniels Rd, Hardwick, VT 05843 | 2014-12-17 |
| 1073956819 | Ryu Samarai | Psychologist | 38 Church St., Hardwick, VT 05843 | 2013-04-11 |
| 1568757029 | Jane Petercuskie | Pharmacist | 82 Route 15 West, Hardwick, VT 05843 | 2011-06-13 |
| 1730470873 | Cheryl Smith | Pharmacist | 82 Vt Route 15 W, Rite Aid Pharmacy, Hardwick, VT 05843 | 2011-04-24 |
| 1447568498 | Larry Albert Renaud | Pharmacist | 82 Rt 15 W, Hardwick, VT 05843 | 2010-09-23 |
| 1619206042 | Nancy Lukas | Counselor | 39 West Church St., Hardwick, VT 05843 | 2009-12-14 |
| 1154579225 | Anthony Depaul | Counselor | 39 Church Street, Hardwick, VT 05843 | 2008-09-03 |
| 1366639700 | Cecile M Leriche | Counselor | 20 Wakefield Street, Hardwick, VT 05843 | 2007-10-01 |
| 1518157130 | Jody Martin Howe Xuereb | Counselor | 20 Wakefield St., Hardwick, VT 05843 | 2007-07-30 |
| Find all providers in zip 05843 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801459680 | Northeast Kingdom Dental Group Pllc | Clinic/Center | 49 W Church St, Hardwick, VT 05843-6001 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013410331 | Rutland Family Dental, Plc | Clinic/Center | 240 Stratton Rd Ste 2, Rutland, VT 05701-4623 | 2018-03-13 |
| 1780886978 | Montpelier Dental Group | Clinic/Center | 4 Spring St Ste 1, Montpelier, VT 05602-2224 | 2007-06-01 |
| 1356350565 | Affordable Dentures Burlington PC | Clinic/Center | 1162 Williston Road, South Burlington, VT 05403 | 2006-08-05 |
| 1649236225 | Northern Counties Health Care Inc | Clinic/Center | 165 Sherman Dr, St Johnsbury, VT 05819-9811 | 2006-04-24 |
| 1366901464 | United Way of Windham County | Clinic/Center | 375 Canal St, Brattleboro, VT 05301-6936 | 2019-03-18 |
| 1386116895 | Golden Colchester Pllc | Clinic/Center | 416 Roosevelt Hwy, Colchester, VT 05446-5975 | 2018-12-21 |
| 1588139463 | Brandon Vanasse Dmd Pllc | Clinic/Center | 296 Main Street, Derby, VT 05829 | 2018-10-08 |
| 1770064388 | Brandon Family Dentistry | Clinic/Center | 5 Carver St, Brandon, VT 05733-1103 | 2018-08-22 |
| 1861970006 | Stratton Dental Arts | Clinic/Center | 163 Stratton Rd, Rutland, VT 05701-4619 | 2018-07-31 |
| 1285127621 | David L Stanley Dmd Pllc | Clinic/Center | 34 Mapleville Depot, Saint Albans, VT 05478-1857 | 2018-06-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.