Healthcare Provider Details
I. General information
NPI: 1750380531
Provider Name (Legal Business Name): THE RICHFORD HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/14/2005
Last Update Date: 08/29/2023
Certification Date: 08/29/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
44 MAIN ST SUITE 200
RICHFORD VT
05476-1141
US
IV. Provider business mailing address
44 MAIN ST SUITE 200
RICHFORD VT
05476-1141
US
V. Phone/Fax
- Phone: 802-255-5581
- Fax: 802-255-5589
- Phone: 802-255-5581
- Fax: 802-255-5589
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATHY
BENOIT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 802-255-5562