Organization
CARLOS G. OTIS HEALTH CARE CENTER, INC.
Active
Other names
Grace Cottage Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ALAN BROWN (CFO)
(802) 365-3601
Entity
Organization
Contact information
Practice address
185 GRAFTON RD., TOWNSHEND, VT 05353
(802) 365-4331
Mailing address
PO BOX 216, TOWNSHEND, VT 05353-0216
(802) 365-4331
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN0834
—
VT
Enumeration date
07/21/2006
Last updated
06/06/2020
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