Healthcare Provider Details

I. General information

NPI: 1184611378
Provider Name (Legal Business Name): THE RICHFORD HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 08/29/2023
Certification Date: 08/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

382 MAIN ST
ENOSBURG FALLS VT
05450-6008
US

IV. Provider business mailing address

44 MAIN ST SUITE 200
RICHFORD VT
05476-1141
US

V. Phone/Fax

Practice location:
  • Phone: 802-933-5831
  • Fax: 802-933-5836
Mailing address:
  • Phone: 802-255-5580
  • Fax: 802-255-5589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateVT

VIII. Authorized Official

Name: KATHY BENOIT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 802-255-5562