Clara Martin Center

LBN: Clara Martin Center
Clara Martin Center is an health care organization with primary practice located at 11 S Main St , Randolph VT 05060-1330. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Public Health, State or Local, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Agencies / Community/Behavioral Health is the primary health care specialty. Clara Martin Center can be contacted via phone (802) 728-4466, or through Gidney, Melanie via phone (802) 728-4466.

Contact Information

Primary practice address
11 S Main St Randolph VT 05060-1330
Phone: (802) 728-4466
Fax: (802) 728-4197
Website:
Map and Directions
Authorized official contact:
Name: Gidney, Melanie
Phone: (802) 728-4466

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1386710861
LBN Legal business name Clara Martin Center
DBA Doing business as
Authorized official Gidney, Melanie
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Jun 18th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386710861 NPPES
Vermont MEDICAID 1003145
Vermont Other T000381
Vermont Other VT6178
Vermont Other 63909C
Vermont Other 93909A
Vermont Other 93909
Vermont MEDICAID 1007256
Vermont MEDICAID 1009814
Vermont Other 1027774
Vermont Other 00800321
Vermont MEDICAID 1009815
Vermont Other 63909A
Vermont MEDICAID 00006178
Vermont MEDICAID 1006421
Vermont Other 50Y083800VT01
Vermont Other 63909
Vermont Other 93909C

Popular Providers