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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | 1021079 | 05 | |
VT | MEDICARE PART A FQHC | 471846 | 01 |
VT | 0471846 | 05 |
Other Name | Type Code |
---|---|
Mountain Health Center | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
74 Munsill Ave, Suite 100, Bristol, VT 054431032 | 8024535028 | 8024536105 |
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 |
Street Address |
61 PINE STREET, BUILDING 4 |
City | BRISTOL |
State | VT |
Zip Code | 05443 |
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 Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1356676514 | Community Health Center Inc. | Clinic/Center | 395 N Main St, Bristol, CT 06010-4924 | 2009-10-06 |
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 |
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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.