Dba Castleton Family Health Center
LBN: Community Health Centers Of The Rutland Region, Inc.
Dba Castleton Family Health Center is an health care organization with primary practice located at 275 Route 30 N , Bomoseen VT 05732-9647. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Community Health Centers Of The Rutland Region, Inc. can be contacted via phone (802) 468-5641, or through Gardner, Michael L via phone (802) 855-2080.
Contact Information
Primary practice address
275 Route 30 N
Bomoseen VT 05732-9647
Phone: (802) 468-5641
Fax: (802) 468-2923
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1336193838 |
|---|---|
| LBN Legal business name | Community Health Centers Of The Rutland Region, Inc. |
| DBA Doing business as | Dba Castleton Family Health Center |
| Authorized official | Gardner, Michael L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jun 21st, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336193838 | NPPES |
| Vermont | MEDICAID | 1010851 | |
| Vermont | MEDICAID | 02940256 |
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