COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. (NPI# 1780969345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780969345 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. |
| Other Organization Name | CHCRR PEDIATRICS |
| Practice Address |
1 General Wing Rd Rutland VT 05701-4681 |
| Mailing Address |
71 Allen St Suite 101 Rutland VT 05701-4570 |
| Practice Telephone | 8027739131 |
| Practice Fax Number | 8027731551 |
| Mailing Telephone | 8004689118 |
| Mailing Fax Number | 8027727973 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | MICHAEL GARDNER (FINANCE DIRECTOR) |
| Authorized Official Telephone | 8028552083 |
| Is Organization Subpart | N |
| 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 | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1019786 | 05 | |
| NY | 03891774 | 05 | |
| VT | 0471842 | 05 |
| Other Name | Type Code |
|---|---|
| CHCRR Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225400237 | Community Health Centers of The Rutland Region, Inc. | Family Medicine | 71 Allen Pond, Suite 403, Rutland, VT 05701-4570 | 2015-10-29 |
| 1437364759 | Community Health Centers of The Rutland Region, Inc. | Dentist | 69 Allen St Ste 10, Rutland, VT 05701-4564 | 2007-05-11 |
| 1073567590 | Community Health Centers of The Rutland Region, Inc. | Clinic/Center | 420 Grove St, Brandon, VT 05733-9062 | 2006-05-20 |
| 1104870922 | Community Health Centers of The Rutland Region, Inc. | Clinic/Center | 278 Vt Route 149, West Pawlet, VT 05775-9798 | 2006-05-19 |
| 1336193838 | Community Health Centers of The Rutland Region, Inc. | Family Medicine | 275 Route 30 N, Bomoseen, VT 05732-9647 | 2006-05-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. | 275 Rte 30 North, Bomoseen, VT 05732 |
| Street Address |
1 GENERAL WING RD |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701-4681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659395390 | Amy E Ferguson | Pediatrics | 1 General Wing Rd, Chcrr Pediatrics, Rutland, VT 05701-4681 | 2006-07-26 |
| 1215418363 | Alyssa Mazzariello | Social Worker | 1 General Wing Rd, Rutland, VT 05701-4681 | 2018-08-27 |
| 1295246379 | Amy Pfenning | Nurse Practitioner | 1 General Wing Rd, Rutland, VT 05701-4681 | 2017-10-17 |
| 1770825937 | Delia Marie Horn | Pediatrics | 1 General Wing Rd, Rutland, VT 05701-4681 | 2013-03-26 |
| 1295075869 | Charles Mcewen Wheeler IIi | Nurse Practitioner | 1 General Wing Rd, Rutland, VT 05701-4681 | 2013-02-19 |
| 1386878148 | Anna Mccloy | Pediatrics | 1 General Wing Rd, Rutland, VT 05701-4681 | 2009-05-08 |
| 1801096771 | Allison Barbara Adams | Pediatrics | 1 General Wing Rd, Rutland, VT 05701-4681 | 2007-07-19 |
| 1780702118 | Pediatric Associates, P.C. | Pediatrics | 1 General Wing Rd, Rutland, VT 05701-4681 | 2007-03-26 |
| 1588781660 | Stephen J. Wood | Pediatrics | 1 General Wing Rd, Rutland, VT 05701-4681 | 2007-03-23 |
| 1912024076 | Indra Ray Lovko | Pediatrics | 1 General Wing Rd, Rutland, VT 05701-4681 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
| Find all providers in zip 05701 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659395390 | Amy E Ferguson | Pediatrics | 1 General Wing Rd, Chcrr Pediatrics, Rutland, VT 05701-4681 | 2006-07-26 |
| 1003841727 | Jean R Butterfield | Pediatrics | 71 Allen St Ste 402, Rutland, VT 05701-4570 | 2006-07-11 |
| 1770825937 | Delia Marie Horn | Pediatrics | 1 General Wing Rd, Rutland, VT 05701-4681 | 2013-03-26 |
| 1922323781 | Baxter Clay Holland | Pediatrics | 160 Allen St, Rutland, VT 05701-4560 | 2010-04-05 |
| 1386878148 | Anna Mccloy | Pediatrics | 1 General Wing Rd, Rutland, VT 05701-4681 | 2009-05-08 |
| 1801096771 | Allison Barbara Adams | Pediatrics | 1 General Wing Rd, Rutland, VT 05701-4681 | 2007-07-19 |
| 1780702118 | Pediatric Associates, P.C. | Pediatrics | 1 General Wing Rd, Rutland, VT 05701-4681 | 2007-03-26 |
| 1588781660 | Stephen J. Wood | Pediatrics | 1 General Wing Rd, Rutland, VT 05701-4681 | 2007-03-23 |
| 1912024076 | Indra Ray Lovko | Pediatrics | 1 General Wing Rd, Rutland, VT 05701-4681 | 2007-03-23 |
| 1528183225 | Robert A. Hession | Pediatrics | 1 General Wing Rd, Rutland, VT 05701-4681 | 2007-03-20 |
| Find all providers in RUTLAND | ||||
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC..
| 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.