Organization
NORTHERN COUNTIES HEALTH CARE, INC.
Active
Parent organization
NORTHERN COUNTIES HEALTH CARE, INC.
Other names
Northern Counties Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN COUNTIES HEALTH CARE, INC.
Authorized official
PATRICK FLOOD (EXECUTIVE DIRECTOR/CEO)
(802) 748-9405
Entity
Organization
Contact information
Practice address
151 NORTH MAIN STREET, HARDWICK, VT 05843
(802) 472-2260
(802) 472-2263
Mailing address
165 SHERMAN DRIVE, ST. JOHNSBURY, VT 05819
(802) 748-9405
(802) 748-4540
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2332
BC GROUP NUMBER
VT
Enumeration date
03/23/2007
Last updated
01/30/2014
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