MEDICARE: COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION

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	261QF0400X	Federally Qualified Health Center (FQHC)		VT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
19	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508890492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION

Provider Business Mailing Address
First Line	:	71 ALLEN ST
Second Line	:	STE 101
City	:	RUTLAND
State	:	VT
Zip	:	05701-4570
Country	:	US
Telephone Number	:	800-468-9118
Fax Number	:	802-772-7973

Provider Business Practice Location Address
First Line	:	71 ALLEN ST
Second Line	:	SUITE 101
City	:	RUTLAND
State	:	VT
Zip	:	05701-4570
Country	:	US
Telephone Number	:	802-855-2083
Fax Number	:	802-855-2055

Authorized Official
Title or Position	:	EXEC DIRECTOR
Name	:	GRANT L WHITMER
Credential	:
Telephone Number	:	802-855-2083

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	11/10/2016

Similar Medicare Providers

1306843537 — DR. MARY M BEERWORTH M.D.
Practice Location Address:

147 ALLEN STREET
RUTLAND, VT
05701-4570

Practice Phone: 802-775-1901
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1447248299 — OBSTETRICS,GYNECOLOGY,INFERTILITY P.C.
Practice Location Address:

71 ALLEN ST , SUITE 402
RUTLAND, VT
05701-4570

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1386603124 — SILVIA R TRIPLETT ARNP
Practice Location Address:

71 ALLEN ST , SUITE #403
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05701-4570

Practice Phone: 802-772-7992
Practice Fax: 802-772-7973

1801851092 — DR. JOHN F. COCO M.D.
Practice Location Address:

71 ALLEN ST , SUITE 202
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05701-4570

Practice Phone: 802-773-8328
Practice Fax:

1407890890 — DR. PATRICK J. COOLEY D.C., P.T.
Practice Location Address:

71 ALLEN ST , SUITE 203
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05701-4570

Practice Phone: 802-773-7700
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1780600460 — DR. JOYCE A. HOTTENSTEIN DMD
Practice Location Address:

71 ALLEN ST , SUITE #301
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MEDICARE: COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION

Scope of Practice

Other Identifiers

General Provider Information

Similar Medicare Providers

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