Organization
FIVE-TOWN HEALTH ALLIANCE, INC
Active
Parent organization
FIVE-TOWN HEALTH ALLIANCE, INC
Other names
Mountain Community Health, Red Clover Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE-TOWN HEALTH ALLIANCE, INC
Authorized official
HEIDI MELBOSTAD (CHIEF EXECUTIVE OFFICER)
(802) 453-5116
Entity
Organization
Contact information
Practice address
61 PINE ST, BRISTOL, VT 05443-1043
(802) 453-3911
(802) 453-2358
Mailing address
61 PINE ST, BRISTOL, VT 05443-1043
(802) 453-3911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
09/18/2024
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