# PRIMARY CARE HEALTH PARTNERS - VERMONT LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285687616
- **Authorized official:** JON W ASSELIN (COO)
- **Authorized official phone:** (802) 872-4326

## Contact information

- **Practice address:** 600 BLAIR PARK RD STE 285, WILLISTON, VT 05495-7586
- **Practice address phone:** (802) 288-1140
- **Practice address fax:** (802) 288-1144
- **Mailing address:** 600 BLAIR PARK RD STE 285, WILLISTON, VT 05495-7586
- **Mailing address phone:** (802) 288-1140
- **Mailing address fax:** (802) 288-1144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 01/30/2024