Healthcare Provider Digital Endpoint |
|
NPI (National Provider Identifier)
|
1144020736
|
|
Endpoint Type
|
OTHERS (Other URL)
|
|
Endpoint
|
https://hushforms.com/newstrokescounseling
|
|
Endpoint Description
|
Secure web form for receiving confidential client information
|
|
Endpoint Affiliation
|
N (No, Endpoint is not affiliated with an NPI or EIN)
|
Endpoint Affiliation Information |
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Affiliation Legal Business Name
|
|
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Affiliation Legal Business Address
|
70 S Winooski Ave
Burlington VT
05401-3898
US
|
Healthcare Provider Digital Endpoint Use |
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Use Code
|
OTHER
|
|
Use Description
|
Other
|
|
Other Use Description
|
Secure web form for receiving confidential client information
|
Healthcare Provider Digital Endpoint Content |
|
Content Type
|
OTHER
|
|
Content Description
|
Other
|
|
Other Content Description
|
Protected health information
|
Healthcare Provider Digital Endpoint |
|
NPI (National Provider Identifier)
|
1144020736
|
|
Endpoint Type
|
OTHERS (Other URL)
|
|
Endpoint
|
https://hushforms.com/newstrokescounseling
|
|
Endpoint Description
|
Secure web form for receiving confidential client information
|
|
Endpoint Affiliation
|
N (No, Endpoint is not affiliated with an NPI or EIN)
|
Endpoint Affiliation Information |
|
Affiliation Legal Business Name
|
|
|
Affiliation Legal Business Address
|
PO Box 232
Randolph VT
05060-0232
US
|
Healthcare Provider Digital Endpoint Use |
|
Use Code
|
OTHER
|
|
Use Description
|
Other
|
|
Other Use Description
|
Secure web form for receiving confidential client information
|
Healthcare Provider Digital Endpoint Content |
|
Content Type
|
OTHER
|
|
Content Description
|
Other
|
|
Other Content Description
|
Protected health information
|