Organization
MOUNTAIN VALLEY HEALTH COUNCIL INC.
Active
Other names
Mountain Valley Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LITCHFIELD II (OFFICE MANAGER)
(802) 824-6901
Entity
Organization
Contact information
Practice address
38 RT 11, LONDONDERRY, VT 05148
(802) 824-6901
Mailing address
38 RT 11, LONDONDERRY, VT 05148
(802) 824-6901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004618
—
VT
05
—
0473829
—
VT
Enumeration date
02/09/2006
Last updated
06/13/2014
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