Common Street Health Center

LBN: Community Health Centers Of The Rutland Region, Inc
Common Street Health Center is an health care organization with primary practice located at 4 Commons St , Rutland VT 05701-4651. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Community Health Centers Of The Rutland Region, Inc can be contacted via phone (802) 773-1321, or through Whitmer, Grant L via phone (802) 468-5641.

Contact Information

Primary practice address
4 Commons St Rutland VT 05701-4651
Fax:
Website:
Authorized official contact:
Name: Whitmer, Grant L

Profile Details

NPI number 1063715886
LBN Legal business name Community Health Centers Of The Rutland Region, Inc
DBA Doing business as Common Street Health Center
Authorized official Whitmer, Grant L
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2010
Last updated Aug 10th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063715886 NPPES
Vermont MEDICAID 0471838

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