INDIAN STREAM HEALTH CENTER, INC (NPI# 1215367891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215367891 |
| Entity Type | Organization |
| Organization Name | INDIAN STREAM HEALTH CENTER, INC |
| Other Organization Name | CANAAN SITE |
| Practice Address |
253 Gale St Canaan Site Canaan VT 05903 |
| Mailing Address |
141 Corliss Ln Canaan Site Colebrook NH 03576-3206 |
| Practice Telephone | 6032378336 |
| Practice Fax Number | 6032374467 |
| Mailing Telephone | 6032378336 |
| Mailing Fax Number | 6032374467 |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2015-03-30 |
| Authorized Official Name | MR. JONATHAN BROWN (CEO) |
| Authorized Official Telephone | 6033882426 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CANAAN SITE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386673952 | Indian Stream Health Center, Inc | General Practice | 141 Corliss Lane, Colebrook, NH 03576 | 2006-07-03 |
| Street Address |
253 GALE ST CANAAN SITE |
| City | CANAAN |
| State | VT |
| Zip Code | 05903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285807438 | Teresa Marie Halligan | Social Worker | 253 Gale Street, Canaan, VT 05903 | 2008-04-09 |
| 1396244141 | Erin Marchesseault | Specialist/Technologist | 835 Vt Route 114, Canaan, VT 05903-9777 | 2018-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356988653 | Ann Mary Lawler | Technician | 545 Hinckley Rd, Canaan, ME 04924-3308 | 2019-12-05 |
| 1861054082 | Athina Mizero | Counselor | 13640 State Route 22, Canaan, NY 12029-3506 | 2019-07-09 |
| 1063071397 | Adam Cooper Eckhardt | Registered Nurse | 405 W Farms Rd, Canaan, NH 03741-7514 | 2019-06-11 |
| 1942767017 | Town of Canaan | Ambulance | 56 Nh Rt 118, Canaan, NH 03741 | 2019-02-26 |
| 1942792379 | Kathleen Takach | Dentist | Mascoma Community Healthcare, 18 Roberts Road, Canaan, NH 03741 | 2018-06-01 |
| 1437686466 | Michelle Anne Blackburn | Occupational Therapist | 77 S Canaan Rd, Canaan, CT 06018-2517 | 2017-05-22 |
| 1386183937 | Juanita Lock | Nurse Practitioner | 10051 N State Road 62, Canaan, IN 47224-9759 | 2017-02-15 |
| 1861938409 | Courtney Vorachak | Peer Specialist | 44 Roberts Rd, Canaan, NH 03741-7644 | 2017-01-06 |
| 1629510821 | Mary Ellen Banaszek | Registered Nurse | 124 Lancaster Rd, Canaan, ME 04924-3136 | 2016-11-06 |
| 1609320977 | Mccall Foundation, Inc | Clinic/Center | 83 S Canaan Rd, Canaan, CT 06018-2502 | 2016-08-04 |
| Find all providers in CANAAN | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518293547 | Sebasticook Family Doctors | Clinic/Center | 333 Main St, Canaan, ME 04924-3407 | 2009-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447768569 | Springfield Medical Care Systems Inc | Clinic/Center | 43 Union St, Springfield, VT 05156-3133 | 2018-01-11 |
| 1457869570 | Springfield Medical Care Systems Inc | Clinic/Center | 10 Hoover St, Springfield, VT 05156-2425 | 2018-01-11 |
| 1356859474 | Springfield Medical Care Systems Inc | Clinic/Center | 303 South St, Springfield, VT 05156-3226 | 2018-01-11 |
| 1508373655 | Springfield Medical Care Systems Inc | Clinic/Center | 13 Fairground Rd, Springfield, VT 05156-2112 | 2018-01-10 |
| 1619427663 | Gifford Health Care, Inc. | Clinic/Center | 1422 Route 66, Randolph, VT 05060-7718 | 2016-10-13 |
| 1639544331 | Springfield Medical Care Systems Inc | Clinic/Center | 38 Vermont Route 11, Londonderry, VT 05148-9555 | 2015-12-07 |
| 1457781031 | Gifford Health Care, Inc | Clinic/Center | 356 Vt Rte110, Chelsea, VT 05038-8993 | 2013-11-19 |
| 1114252400 | Springfield Medical Care Systems Inc | Clinic/Center | 362 River St, Suite 200, Springfield, VT 05156-2242 | 2009-10-05 |
| 1902008485 | Northeast Washington County Community Health Inc | Clinic/Center | 25 Common Road, Cabot, VT 05647-0999 | 2007-06-05 |
| 1114044344 | Northern Counties Health Care, Inc. | Clinic/Center | 151 North Main Street, Hardwick, VT 05843 | 2007-03-23 |
| 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.