MEDICARE: MH HEALTH CARE SERVICES, PC

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
1	332900000X	Non-Pharmacy Dispensing Site
2	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1346683562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MH HEALTH CARE SERVICES, PC

Provider Business Mailing Address
First Line	:	20 WINOOSKI FALLS WAY STE 400
Second Line	:
City	:	WINOOSKI
State	:	VT
Zip	:	05404-2239
Country	:	US
Telephone Number	:	802-857-0400
Fax Number	:	802-857-0498

Provider Business Practice Location Address
First Line	:	401 INNOVATION DR
Second Line	:	C/O VCS HEALTH CENTER
City	:	NORTH CLARENDON
State	:	VT
Zip	:	05759-9230
Country	:	US
Telephone Number	:	802-776-3670
Fax Number	:

Authorized Official
Title or Position	:	CORPORATE MEDICAL OFFICER
Name	:	DR. TERRY LAYMAN
Credential	:	MD
Telephone Number	:	317-727-6898

Provider Enumeration Date	:	04/08/2013
Last Update Date	:	10/20/2022

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