FIVE-TOWN HEALTH ALLIANCE, INC


Address: 61 Pine Street, Building 4, Bristol, VT 05443
Phone: 8024535028

FIVE-TOWN HEALTH ALLIANCE, INC (NPI# 1871840843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871840843
Entity Type Organization
Organization Name FIVE-TOWN HEALTH ALLIANCE, INC
Other Organization Name MOUNTAIN HEALTH CENTER
Practice Address 61 Pine Street, Building 4
Bristol
VT 05443
Mailing Address 61 Pine St Bldg 4
Bristol
VT 05443-1043
Practice Telephone 8024535028
Practice Fax Number 8024536105
Mailing Telephone 8024535028
Mailing Fax Number 8024536105
Enumeration Date 2012-08-09
Last Update Date 2020-02-07
Authorized Official Name MARTHA A HALNON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8024535028
Authorized Official Credential CPC, CMPE
Is Organization Subpart Y
Parent Organization Name FIVE-TOWN HEALTH ALLIANCE, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
VT Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
VT 1021079 05
VT MEDICARE PART A FQHC 471846 01
VT 0471846 05

Other Provider/Organization Names

Other Name Type Code
Mountain Health Center Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
74 Munsill Ave, Suite 100, Bristol, VT 054431032 8024535028 8024536105

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1528620838 Five-town Health Alliance, Inc Family Medicine 56 College St, Middlebury, VT 05753-1447 2019-07-08
1013562636 Five-town Health Alliance, Inc Dentist 61 Pine St, Bristol, VT 05443-1043 2019-08-09

Office Location

Street Address 61 PINE STREET, BUILDING 4
City BRISTOL
State VT
Zip Code 05443

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124547344 Amanda Elnora Knight Occupational Therapist 2555 Monkton Road, Bristol, VT 05443 2017-09-19
1841655289 Michelle S. Davis Speech-Language Pathologist 220 Airport Drive, Mt. Abraham Union Middle/high School, Bristol, VT 05443 2015-12-30
1477855500 Cassandra Corcoran Counselor 2722 Mountain Road, Bristol, VT 05443 2010-11-22
1427207182 Chiropractic Health & Wellness PC Chiropractor 14 School St., Suite 105, Bristol, VT 05443 2008-09-17
1477756526 Jennifer Ann Oxford Occupational Therapist 71 Mountain Street, Live Full Therapies LLC, Bristol, VT 05443 2007-06-07
1477685899 Kenneth Schoen Counselor 802 Forge Hill Road, Lincoln, VT 05443 2007-03-12
1881747384 Bristol Rescue Squad, Inc. Ambulance 45 Monkton Road, Bristol, VT 05443 2007-01-19
1730268103 Diane K Greenberg Physical Therapist 167 Monkton Road, Suite 101b, Bristol, VT 05443 2006-11-04
1992800684 Ann Dreher Fisher Counselor 14 School Street, Suite #9, Bristol, VT 05443 2006-09-14
1477800738 Farid Hamidzadeh Dentist 6 Park Pl, Bristol, VT 05443 2012-08-06
Find all providers in zip 05443

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225169295 Southwest Virginia Community Health Systems Inc Clinic/Center 2195 Euclid Avenue, Suite 6, Bristol, VA 24201-3655 2007-03-08
1396381448 Wheeler Clinic Inc. Clinic/Center 10 N Main St, Bristol, CT 06010-8122 2019-11-25
1356676514 Community Health Center Inc. Clinic/Center 395 N Main St, Bristol, CT 06010-4924 2009-10-06

Providers in the same taxonomy and state

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

Competitor

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City BRISTOL
Zip Code 05443

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Dataset Information

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.

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