MAD RIVER FAMILY HEALTH (NPI# 1902984974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902984974 |
| Entity Type | Organization |
| Organization Name | MAD RIVER FAMILY HEALTH |
| Practice Address |
859 Old County Rd Waitsfield VT 05673-6093 |
| Practice Telephone | 8024963838 |
| Practice Fax Number | 8024965586 |
| Mailing Telephone | 8024963838 |
| Mailing Fax Number | 8024965586 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. FRANCIS COOK (PHYSICIAN) |
| Authorized Official Telephone | 8024963838 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
042-0006636 | VT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0473826 | 05 |
| Street Address |
859 OLD COUNTY RD |
| City | WAITSFIELD |
| State | VT |
| Zip Code | 05673-6093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700820115 | Francis W Cook | Family Medicine | 859 Old County Rd, Waitsfield, VT 05673-6093 | 2006-06-15 |
| 1972985745 | Elisabeth B Wells | Nurse Practitioner | 859 Old County Rd, Waitsfield, VT 05673-6221 | 2015-06-29 |
| 1033555180 | Sarah Chase Abbot | Family Medicine | 859 Old County Rd, Waitsfield, VT 05673-6221 | 2013-05-16 |
| 1033412499 | Sarah Lynn Kaplan | Acupuncturist | 859 Old County Rd, Suite E, Waitsfield, VT 05673-6221 | 2010-12-07 |
| 1396046553 | Akhil Kaplan | Acupuncturist | 859 Old County Rd, Suite Z, Waitsfield, VT 05673-6221 | 2010-11-04 |
| 1619133683 | Nanette M Wessel Kissenberth | Family Medicine | 859 Old County Rd, Waitsfield, VT 05673-6221 | 2008-07-30 |
| 1790956738 | Christine M Malcolm | Nurse Practitioner | 859 Old County Rd, Waitsfield, VT 05673-6221 | 2008-03-18 |
| 1326156092 | Deborah Vandyke | Nurse Practitioner | 859 Old County Rd, Waitsfield, VT 05673-6221 | 2006-08-25 |
| 1013938943 | Susanne B Heinzerling | Nurse Practitioner | 859 Old County Rd, Waitsfield, VT 05673-6093 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366082422 | Art Roots, Plc | Clinic/Center | 4061 Main St, Waitsfield, VT 05673 | 2020-01-07 |
| 1124429204 | Gary Frankel | Social Worker | 233 Wallis Drive, Waitsfield, VT 05673 | 2014-09-09 |
| 1780913020 | True North Wilderness Programs | Community Based Residential Treatment Facility, Mental Illness | 5354 Main St, Waitsfield, VT 05673 | 2009-12-16 |
| 1255502241 | Nancy Marie Smyth. | Exclusive Provider Organization | 105-4 Mad River Green, Waitsfield, VT 05673 | 2008-03-18 |
| 1760604847 | Sarah R Pashby | Physical Therapist | 168 High Bridge Hill Ext, Waitsfield, VT 05673 | 2007-05-02 |
| 1811047319 | Sallie West | Counselor | 407 Strong Road, Fayston, VT 05673 | 2007-01-10 |
| 1316906936 | Joseph D Grant | Physical Therapist | 4740 Main St, Waitsfield, VT 05673 | 2006-03-22 |
| 1538128467 | Back To Action Physical Therapy Plc | Physical Therapist | 4740 Main Street, Waitsfield, VT 05673 | 2006-03-20 |
| 1528044088 | Michael Checkoff | Psychologist | 6971 Rt 100, Valley Professional Center, Waitsfield, VT 05673 | 2005-12-16 |
| 1821225855 | Maria Delliveneri | Specialist/Technologist | 4740 Main St, Waitsfield, VT 05673 | 2009-06-17 |
| Find all providers in zip 05673 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
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| 1982897203 | Mountain Valley Health Council Inc | Clinic/Center | 38 Rte 11, Londonderry, VT 05148-0310 | 2007-08-21 |
| 1659459428 | Northeastern Vermont Regional Hospital Inc. | Clinic/Center | 195 Industrial Pkwy Ste 1, Lyndonville, VT 05851-4511 | 2006-11-01 |
| 1003261942 | Paul Rogers Md | Clinic/Center | 224 Railroad St, Johnson, VT 05656-9103 | 2016-04-28 |
| 1295928000 | Springfield Hospital | Clinic/Center | 1 Elm St, Ludlow, VT 05149-1301 | 2007-08-24 |
| 1669664256 | Springfield Hospital | Clinic/Center | One Hospital Ct, Health Center At Bellows Falls, Bellows Falls, VT 05101-1489 | 2007-08-16 |
| 1518180314 | Sarayu Balu | Clinic/Center | 1126 Laporte Rd, Morrisville, VT 05661-0608 | 2007-04-10 |
| 1295868008 | North Country Hospital & Health Center Inc | Clinic/Center | 189 Prouty Dr, Newport, VT 05855-9326 | 2007-03-13 |
| 1417023904 | North Country Hospital & Health Center Inc | Clinic/Center | 189 Prouty Dr, Newport, VT 05855-9326 | 2006-11-27 |
| 1467540211 | Orleans Medical Clinic | Clinic/Center | 30 East St, Orleans, VT 05860-1230 | 2006-10-10 |
| Find all providers with the same taxonomy | ||||
| City | WAITSFIELD |
| Zip Code | 05673 |
Please comment or provide details below to improve the information on MAD RIVER FAMILY HEALTH.
| 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.