Organization
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION
Active
Other names
CHCRR
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT L WHITMER (EXEC DIRECTOR)
(802) 855-2083
Entity
Organization
Contact information
Practice address
71 ALLEN ST, SUITE 101, RUTLAND, VT 05701-4570
(802) 855-2083
(802) 855-2055
Mailing address
71 ALLEN ST, STE 101, RUTLAND, VT 05701-4570
(800) 468-9118
(802) 772-7973
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02940256
—
NY
05
—
03044048
—
NY
05
—
03044057
—
NY
05
—
03891774
—
NY
05
—
03891783
—
NY
05
—
03891792
—
NY
05
—
0471814
—
VT
05
—
0471815
—
VT
05
—
0471816
—
VT
05
—
0471836
—
VT
05
—
0471842
—
VT
05
—
0471844
—
VT
05
—
1010850
—
VT
05
—
1010851
—
VT
05
—
1010852
—
VT
05
—
1013682
—
VT
05
—
1017651
—
VT
05
—
1019786
—
VT
05
—
1021223
—
VT
05
—
1025859
—
VT
Enumeration date
07/10/2006
Last updated
11/10/2016
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