CARLOS G. OTIS HEALTH CARE CENTER INC. (NPI# 1255337473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255337473 |
| Entity Type | Organization |
| Organization Name | CARLOS G. OTIS HEALTH CARE CENTER INC. |
| Other Organization Name | GRACE COTTAGE HOSPITAL |
| Practice Address |
185 Grafton Rd Townshend VT 05353 |
| Mailing Address |
Po Box 216 Townshend VT 05353 |
| Practice Telephone | 8023657920 |
| Practice Fax Number | 8023657031 |
| Mailing Telephone | 8023653601 |
| Mailing Fax Number | 8023659500 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-06-02 |
| 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 | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0471300 | 05 |
| Other Name | Type Code |
|---|---|
| Grace Cottage Hospital | Doing Business As Name - Organization |
| Street Address |
185 GRAFTON RD |
| City | TOWNSHEND |
| State | VT |
| Zip Code | 05353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184276842 | Summer Burch | Nurse Practitioner | 185 Grafton Rd, Townshend, VT 05353-8820 | 2019-07-12 |
| 1376013235 | Kathleen Margaret Clark | Nurse Practitioner | 185 Grafton Rd, Townshend, VT 05353-0216 | 2018-12-04 |
| 1760867956 | Benjamin Warren Wright | Nurse Practitioner | 185 Grafton Rd, Townshend, VT 05353-0216 | 2015-07-29 |
| 1093843328 | Carlos G Otis Health Care Center Inc | Medicare Defined Swing Bed Unit | 185 Grafton Rd, Townshend, VT 05353 | 2007-02-28 |
| 1043263809 | Mario Hasaj | Psychologist | 185 Grafton Rd, Townshend, VT 05353 | 2006-05-19 |
| 1225016793 | Alexandra Barstow | Family Medicine | 185 Grafton Rd, Townshend, VT 05353 | 2006-01-05 |
| 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 |
| 1598755068 | Maurice Geurts | Family Medicine | 185 Grafton Rd., Townshend, VT 05353 | 2005-10-26 |
| 1134119514 | Moss Linder | Family Medicine | 185 Grafton Road, Townshend, VT 05353 | 2005-10-26 |
| 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 |
| 1952447971 | Amalia F Lee | Psychiatry & Neurology | 185 Grafton Road, Townshend, VT 05353 | 2007-01-29 |
| 1407947039 | Donald J. Jackson | Physician Assistant | 185 Grafton Rd., Townshend, VT 05353 | 2006-09-27 |
| Find all providers in zip 05353 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003133570 | Walter Rae | General Acute Care Hospital | 58 Big Deer Run, Newfane, VT 05345-9570 | 2010-04-23 |
| 1740291400 | Porter Hospital Inc | General Acute Care Hospital | 115 Porter Drive, Middlebury, VT 05753 | 2006-08-10 |
| 1518509017 | Northeastern Vermont Regional Hospital, Inc. | General Acute Care Hospital | 195 Industrial Pkwy, Lyndonville, VT 05851-4511 | 2019-10-16 |
| 1134534910 | Northeastern Vermont Regional Hospial | General Acute Care Hospital | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2014-06-30 |
| 1578997896 | Northeastern Vermont Regional Hospital, Inc | General Acute Care Hospital | 1080 Hospital Dr, The Bloch Building, St Johnsbury, VT 05819-9806 | 2013-08-22 |
| 1225391014 | Copley Hospital, Inc | General Acute Care Hospital | 528 Washington Hwy, Morrisville, VT 05661-8973 | 2012-06-18 |
| 1861769507 | Northeastern Vermont Regional Hospital, Inc | General Acute Care Hospital | 714 Breezy Hill Road, St Johnsbury, VT 05819-0905 | 2011-11-23 |
| 1760773774 | Northeastern Vermont Regional Hospital Inc | General Acute Care Hospital | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2011-04-25 |
| 1871620302 | Windsor Hospital Corp | General Acute Care Hospital | 289 County Rd, Windsor, VT 05089-9000 | 2007-02-28 |
| 1982743969 | Springfield Hospital .inc | General Acute Care Hospital | 25 Ridgewood Rd, Springfield, VT 05156-3050 | 2007-02-06 |
| 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.