Island Pond Health Center

LBN: Northern Counties Hlth Care Inc
Island Pond Health Center is an health care organization with primary practice located at 82 Maple Street , Island Pond VT 05846-0425. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Northern Counties Hlth Care Inc can be contacted via phone (802) 723-4300, or through Donnelly, Jack via phone (802) 748-9405.

Contact Information

Primary practice address
82 Maple Street Island Pond VT 05846-0425
Phone: (802) 723-4300
Fax: (802) 723-4544
Website:
Map and Directions
Authorized official contact:
Name: Donnelly, Jack
Phone: (802) 748-9405

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1730101312
LBN Legal business name Northern Counties Hlth Care Inc
DBA Doing business as Island Pond Health Center
Authorized official Donnelly, Jack
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated Aug 22nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730101312 NPPES
Vermont MEDICAID 0007175
Vermont Other 4703270

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