Organization
NORTHERN COUNTIES HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK FLOOD (CEO)
(802) 748-9405
Entity
Organization
Contact information
Practice address
165 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
(802) 748-9405
Mailing address
165 SHERMAN DRIVE, ST JOHNSBURY, VT 05819-0388
(802) 748-9405
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
04/24/2006
Last updated
04/17/2014
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