NORTHERN COUNTIES HEALTH CARE, INC. (NPI# 1851418230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851418230 |
| Entity Type | Organization |
| Organization Name | NORTHERN COUNTIES HEALTH CARE, INC. |
| Other Organization Name | ST. JOHNSBURY COMMUNITY HEALTH CENTER |
| Practice Address |
185 Sherman Drive Suite 1 St Johnsbury VT 05819 |
| Mailing Address |
165 Sherman Dr St Johnsbury VT 05819-9811 |
| Practice Telephone | 8027485401 |
| Practice Fax Number | 8027485094 |
| 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 | Y |
| Parent Organization Name | NORTHERN COUNTIES HEALTH CARE, INC. |
| 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 | 0471808 | 05 | |
| VT | MEDICARE PROVIDER NUMBER | 471808 | 01 |
| Other Name | Type Code |
|---|---|
| St. Johnsbury Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255458501 | Northern Counties Health Care, Inc. | Clinic/Center | 26 Cedar Lane, Danville, VT 05819 | 2007-03-23 |
| 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 |
| 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 |
185 SHERMAN DRIVE SUITE 1 |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669436978 | Dana C Kraus | Family Medicine | 185 Sherman Drive, Suite 1, St Johnsbury, VT 05819 | 2006-04-13 |
| 1184689630 | Elaine L Robinson | Nurse Practitioner | 185 Sherman Drive, Suite 2, St Johnsbury, VT 05819 | 2006-04-19 |
| 1497710883 | Cathleen W Besch | Nurse Practitioner | 185 Sherman Drive, Suite 1, St Johnsbury, VT 05819 | 2006-04-19 |
| 1225093636 | Carey J Brodzinski | Nurse Practitioner | 185 Sherman Drive, Suite 1, St Johnsbury, VT 05819 | 2006-04-19 |
| 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... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639783095 | Northern Express Care St. Johnsbury | Clinic/Center | 1 Eastern Ave, St Johnsbury, VT 05819-2661 | 2020-09-03 |
| 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 | ||||
| City | ST JOHNSBURY |
| Zip Code | 05819 |
Please comment or provide details below to improve the information on NORTHERN COUNTIES HEALTH CARE, 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.