Organization
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION
Active
Parent organization
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION
Authorized official
MELISSA BOVEY (CREDENTIALING SPECIALIST)
(800) 468-9118
Entity
Organization
Contact information
Practice address
69 ALLEN ST STE 7, RUTLAND, VT 05701-4564
(800) 468-9118
Mailing address
71 ALLEN ST STE 402, RUTLAND, VT 05701-4570
(800) 468-9118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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