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NPI Code Detail

MEDICARE: THE RICHFORD HEALTH CENTER INC

MEDICARE: THE RICHFORD HEALTH CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianVT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
219697OTHERVTBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003803297
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE RICHFORD HEALTH CENTER INC
Provider Business Mailing Address
First Line : 44 MAIN ST
Second Line : SUITE 200
City : RICHFORD
State : VT
Zip : 05476-1141
Country : US
Telephone Number : 802-255-5580
Fax Number : 802-255-5589
Provider Business Practice Location Address
First Line : 26 CANADA ST
Second Line :
City : SWANTON
State : VT
Zip : 05488-1335
Country : US
Telephone Number : 800-868-2454
Fax Number : 802-868-2461
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : KATHY BENOIT
Credential :
Telephone Number : 802-255-5562
Provider Enumeration Date : 10/03/2005
Last Update Date : 08/29/2023

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Directions to “THE RICHFORD HEALTH CENTER INC ” Practice Location

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