Organization
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC.
Active
Parent organization
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC.
Authorized official
MICHAEL GARDNER (CEO)
(802) 855-2083
Entity
Organization
Contact information
Practice address
71 ALLEN POND, SUITE 403, RUTLAND, VT 05701-4570
(802) 772-7992
(802) 772-7973
Mailing address
71 ALLEN ST, SUITE 101, RUTLAND, VT 05701-4570
(800) 468-9118
(802) 772-7973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207Q00000X
Family Medicine Physician
—
—
207W00000X
Ophthalmology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025859
—
VT
Enumeration date
10/29/2015
Last updated
02/17/2025
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