Chcrr Pediatrics

LBN: Community Health Centers Of The Rutland Region, Inc.
Chcrr Pediatrics is an health care organization with primary practice located at 1 General Wing Rd , Rutland VT 05701-4681. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Community Health Centers Of The Rutland Region, Inc. can be contacted via phone (802) 773-9131, or through Gardner, Michael via phone (802) 855-2083.

Contact Information

Primary practice address
1 General Wing Rd Rutland VT 05701-4681
Phone: (802) 773-9131
Fax: (802) 773-1551
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Michael
Phone: (802) 855-2083

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1780969345
LBN Legal business name Community Health Centers Of The Rutland Region, Inc.
DBA Doing business as Chcrr Pediatrics
Authorized official Gardner, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2011
Last updated Jan 18th, 2017 - about 8 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 1780969345 NPPES
New York MEDICAID 03891774
New York MEDICAID 1019786
New York MEDICAID 0471842

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