NORTHERN COUNTIES HEALTH CARE, INC. (NPI# 1255458501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255458501 |
| Entity Type | Organization |
| Organization Name | NORTHERN COUNTIES HEALTH CARE, INC. |
| Other Organization Name | DANVILLE HEALTH CENTER |
| Practice Address |
26 Cedar Lane Danville VT 05819 |
| Mailing Address |
165 Sherman Drive St Johnsbury VT 05819 |
| Practice Telephone | 8026842275 |
| Practice Fax Number | 8026843839 |
| 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 | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | MEDICARE PROVIDER NUMBER | 471802 | 01 |
| VT | 0473803 | 05 |
| Other Name | Type Code |
|---|---|
| Danville Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114044344 | Northern Counties Health Care, Inc. | Clinic/Center | 151 North Main Street, Hardwick, VT 05843 | 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 |
26 CEDAR LANE |
| City | DANVILLE |
| State | VT |
| Zip Code | 05819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942563283 | Kathryn H Burnell | Nurse Practitioner | 26 Cedar Lane, Danville, VT 05828-0185 | 2012-06-21 |
| 1750683553 | Amanda Cushing | Social Worker | 26 Cedar Lane, Danville, VT 05828 | 2010-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1427508464 | Aunt Martha's Youth Service Center | Clinic/Center | 812 N Logan Ave, Danville, IL 61832-3752 | 2016-10-13 |
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| 1780914747 | Piedmont Access To Health Services Inc | Clinic/Center | 501 Rison St Ste 110, Danville, VA 24541-2426 | 2010-01-13 |
| 1548418494 | Cumberland Family Medical Center, Inc. | Clinic/Center | 217 S 3rd St, Danville, KY 40422-1823 | 2008-09-04 |
| 1578696910 | Piedmont Access To Health Services Inc | Clinic/Center | 705 Main St, Danville, VA 24541-1803 | 2007-03-14 |
| 1447390984 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 614 N Gilbert St, Danville, IL 61832-3940 | 2007-02-07 |
| Find all providers in DANVILLE | ||||
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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.