Organization
NORTHERN COUNTIES HEALTH CARE, INC.
Active
Organization
NORTHERN COUNTIES HEALTH CARE, INC.
Active
Other names
Hardwick Area Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK FLOOD (EXECUTIVE DIRECTOR/CEO)
(802) 748-9405
Entity
Organization
Contact information
Practice address
4 SLAPP HILL ROAD, HARDWICK, VT 05843
(802) 472-3300
(802) 472-8277
Mailing address
165 SHERMAN DRIVE, ST JOHNSBURY, VT 05819
(802) 748-9405
(802) 748-4540
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0473805
—
VT
01
—
471803
MEDICARE PROVIDER NUMBER
VT
Enumeration date
03/23/2007
Last updated
01/30/2014
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