Island Pond Health Center
LBN: Northern Counties Hlth Care Inc
Island Pond Health Center is an health care organization with primary practice located at 82 Maple Street , Island Pond VT 05846-0425. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Non-Pharmacy Dispensing Site, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Non-Pharmacy Dispensing Site is the primary health care specialty.
Northern Counties Hlth Care Inc can be contacted via phone (802) 723-4300, or through Costa, Michael via phone (802) 748-9405.
Contact Information
Primary practice address
82 Maple Street
Island Pond VT 05846-0425
Phone: (802) 723-4300
Fax: (802) 723-4544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Non-Pharmacy Dispensing Site | 332900000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X |
Profile Details
| NPI number | 1144421322 |
|---|---|
| LBN Legal business name | Northern Counties Hlth Care Inc |
| DBA Doing business as | Island Pond Health Center |
| Authorized official | Costa, Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | Sep 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144421322 | NPPES |
| Other | 2101605 | PK | |
| MEDICAID | 0007175 | PK |
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