Organization
LITTLE RIVERS HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW BARTER (CEO)
(802) 222-4637
Entity
Organization
Contact information
Practice address
437 S MAIN ST, BRADFORD, VT 05033-8877
(802) 222-9276
Mailing address
PO BOX 8, NEWBURY, VT 05051-0008
(802) 222-4637
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012614
—
VT
05
—
1012615
—
VT
05
—
30214346
—
NH
05
—
30214359
—
NH
05
—
30214368
—
NH
05
—
30514746
—
NH
05
—
30514747
—
NH
05
—
30514771
—
NH
Enumeration date
05/20/2006
Last updated
05/24/2023
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