CARLOS G. OTIS HEALTH CARE CENTER, INC. (NPI# 1124049960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124049960 |
| Entity Type | Organization |
| Organization Name | CARLOS G. OTIS HEALTH CARE CENTER, INC. |
| Other Organization Name | GRACE COTTAGE FAMILY HEALTH |
| Practice Address |
185 Grafton Rd. Townshend VT 05353 |
| Mailing Address |
Po Box 216 Townshend VT 05353-0216 |
| Practice Telephone | 8023654331 |
| Mailing Telephone | 8023654331 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-06-06 |
| NPI Deactivation Date | 06/02/2020 |
| NPI Reactivation Date | 2020-06-06 |
| Authorized Official Name | STEPHEN ALAN BROWN (CFO) |
| Authorized Official Telephone | 8023653601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | OVN0834 | 05 |
| Other Name | Type Code |
|---|---|
| Grace Cottage Family Health | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | CARLOS G. OTIS HEALTH CARE CENTER, INC. | 185 Grafton Road, Townshend, VT 05353 |
| Street Address |
185 GRAFTON RD. |
| City | TOWNSHEND |
| State | VT |
| Zip Code | 05353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598755068 | Maurice Geurts | Family Medicine | 185 Grafton Rd., Townshend, VT 05353 | 2005-10-26 |
| 1407947039 | Donald J. Jackson | Physician Assistant | 185 Grafton Rd., Townshend, VT 05353 | 2006-09-27 |
| 1790796498 | Matthew Allen Davis | Chiropractor | 185 Grafton Rd., Townshend, VT 05353 | 2006-08-10 |
| 1518958990 | Judith Tietz | Psychiatry & Neurology | 185 Grafton Rd., Townshend, VT 05353 | 2005-11-03 |
| 1003806480 | Elizabeth Linder | Pediatrics | 185 Grafton Rd., Townshend, VT 05353 | 2005-10-26 |
| 1326038878 | Kimona Alin | Family Medicine | 185 Grafton Rd., Townshend, VT 05353 | 2005-10-26 |
| 1629068184 | Robert Backus | Family Medicine | 185 Grafton Rd., Townshend, VT 05353 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225302615 | Mario Hasaj, LLC | Psychiatry & Neurology | 2643 Grafton Road, Mario Hasaj, LLC, Townshend, VT 05353 | 2012-03-02 |
| 1205930336 | Carlos G Otis Health Care Center Inc | Durable Medical Equipment & Medical Supplies | 170 Grafton Rd, Townshend, VT 05353 | 2006-09-11 |
| 1134119514 | Moss Linder | Family Medicine | 185 Grafton Road, Townshend, VT 05353 | 2005-10-26 |
| 1255337473 | Carlos G. Otis Health Care Center Inc. | General Acute Care Hospital | 185 Grafton Rd, Townshend, VT 05353 | 2005-06-22 |
| 1639510787 | Telos, LLC | Family Medicine | 152 Grafton Road, Townshend, VT 05353 | 2013-07-17 |
| 1497012793 | Danny Paul Ballentine | Physician Assistant | 185 Grafton Road, Townshend, VT 05353 | 2012-04-12 |
| 1194081737 | Jesper Jerome Brickley | Family Medicine | 185 Grafton Road, Townshend, VT 05353 | 2012-04-09 |
| 1710175385 | Maureen Mary Mahoney | Physician Assistant | 185 Grafton Road, Townshend, VT 05353 | 2007-10-09 |
| 1093843328 | Carlos G Otis Health Care Center Inc | Medicare Defined Swing Bed Unit | 185 Grafton Rd, Townshend, VT 05353 | 2007-02-28 |
| 1952447971 | Amalia F Lee | Psychiatry & Neurology | 185 Grafton Road, Townshend, VT 05353 | 2007-01-29 |
| Find all providers in zip 05353 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881613354 | Carlos G Otis Health Care Center Inc | Clinic/Center | 1154 Vt Route 30, Townshend, VT 05353 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508093360 | North Country Hospital & Health Center Inc | Clinic/Center | 30 East Street, Orleans, VT 05860-1240 | 2009-06-18 |
| 1982897203 | Mountain Valley Health Council Inc | Clinic/Center | 38 Rte 11, Londonderry, VT 05148-0310 | 2007-08-21 |
| 1659459428 | Northeastern Vermont Regional Hospital Inc. | Clinic/Center | 195 Industrial Pkwy Ste 1, Lyndonville, VT 05851-4511 | 2006-11-01 |
| 1003261942 | Paul Rogers Md | Clinic/Center | 224 Railroad St, Johnson, VT 05656-9103 | 2016-04-28 |
| 1295928000 | Springfield Hospital | Clinic/Center | 1 Elm St, Ludlow, VT 05149-1301 | 2007-08-24 |
| 1669664256 | Springfield Hospital | Clinic/Center | One Hospital Ct, Health Center At Bellows Falls, Bellows Falls, VT 05101-1489 | 2007-08-16 |
| 1518180314 | Sarayu Balu | Clinic/Center | 1126 Laporte Rd, Morrisville, VT 05661-0608 | 2007-04-10 |
| 1295868008 | North Country Hospital & Health Center Inc | Clinic/Center | 189 Prouty Dr, Newport, VT 05855-9326 | 2007-03-13 |
| 1417023904 | North Country Hospital & Health Center Inc | Clinic/Center | 189 Prouty Dr, Newport, VT 05855-9326 | 2006-11-27 |
| 1902984974 | Mad River Family Health | Clinic/Center | 859 Old County Rd, Waitsfield, VT 05673-6093 | 2006-11-01 |
| 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.