Organization
LITTLE RIVERS HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BARTER (CEO)
(802) 222-9276
Entity
Organization
Contact information
Practice address
437 SOUTH MAIN STREET, BRADFORD, VT 05033
(802) 222-9276
Mailing address
PO BOX 8, NEWBURY, VT 05051-0008
(802) 222-9276
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012614
—
VT
05
—
1012615
—
VT
Enumeration date
04/24/2007
Last updated
05/24/2023
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