Organization
NORTHERN COUNTIES HEALTH CARE, INC.
Active
Parent organization
NORTHERN COUNTIES HEALTH CARE, INC.
Other names
Northern Express Care St. Johnsbury
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN COUNTIES HEALTH CARE, INC.
Authorized official
MEGHAN ELLIOTT (HUMAN RESOURCES ASSISTANT)
(802) 748-9405
Entity
Organization
Contact information
Practice address
1 EASTERN AVE, ST JOHNSBURY, VT 05819-2661
(802) 748-9405
Mailing address
165 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
(802) 748-9405
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009361
—
VT
Enumeration date
09/03/2020
Last updated
11/10/2020
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