| Northeast Kingdom Human Services Inc Mh Children | |
|
154 Duchess St Newport VT 05855 | |
| (802) 334-6744 | |
| (802) 334-7340 |
| Full Name | Northeast Kingdom Human Services Inc Mh Children |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 154 Duchess St, Newport, Vermont |
| Authorized Official Name and Position | Eric Grims (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8023346744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Kingdom Human Services Inc Mh Children Po Box 724 Newport VT 05855-0724 Ph: (802) 334-6744 | Northeast Kingdom Human Services Inc Mh Children 154 Duchess St Newport VT 05855 Ph: (802) 334-6744 |
| NPI Number | 1043343700 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043343700 | NPI | - | NPPES |
| 1009784 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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Northeast Kingdom Human Services Inc Mh Adult Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Duchess St, Newport, VT 05855 Phone: 802-334-6744 Fax: 802-334-7340 | |
Northeast Kingdom Human Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 181 Crawford Rd, Newport, VT 05855 Phone: 802-334-6744 Fax: 802-334-7455 | |
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Northeast Kingdom Human Services Inc Mh Waiver Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Duchess St, Newport, VT 05855 Phone: 802-334-6744 Fax: 802-334-7340 |