# LITTLE RIVERS HEALTH CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LITTLE RIVERS HEALTH CARE, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316440456
- **Legal business name:** LITTLE RIVERS HEALTH CARE, INC.
- **Authorized official:** ANDREW BARTER (CEO)
- **Authorized official phone:** (802) 222-4637

## Contact information

- **Practice address:** 2420 ROUTE 302, WELLS RIVER, VT 05081-9750
- **Practice address phone:** (802) 757-2711
- **Mailing address:** PO BOX 8, NEWBURY, VT 05051-0008
- **Mailing address phone:** (802) 222-4637
- **Mailing address fax:** (802) 222-5674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 089-0091985 | VT | Yes |
| 1041C0700X | Clinical Social Worker | 089-0124586 | VT | — |
| 207Q00000X | Family Medicine Physician | 042-0007871 | VT | — |

## Other

- **Enumeration date:** 03/15/2018
- **Last updated:** 05/24/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1316165129 | — | VT |