Organization
MAD RIVER FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCIS COOK MD (PHYSICIAN)
(802) 496-3838
Entity
Organization
Contact information
Practice address
859 OLD COUNTY RD, WAITSFIELD, VT 05673-6093
(802) 496-3838
(802) 496-5586
Mailing address
859 OLD COUNTY RD, WAITSFIELD, VT 05673-6093
(802) 496-3838
(802) 496-5586
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
042-0006636
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0473826
—
VT
Enumeration date
11/01/2006
Last updated
08/22/2020
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