Canaan Site | |
253 Gale St Canaan Site Canaan VT 05903 | |
(603) 237-8336 | |
(603) 237-4467 |
Full Name | Canaan Site |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 253 Gale St, Canaan, Vermont |
Authorized Official Name and Position | Jonathan Brown (CEO) |
Authorized Official Contact | 6033882426 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Canaan Site 141 Corliss Ln Canaan Site Colebrook NH 03576-3206 Ph: (603) 237-8336 | Canaan Site 253 Gale St Canaan Site Canaan VT 05903 Ph: (603) 237-8336 |
NPI Number | 1215367891 |
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Provider Enumeration Date | 11/19/2013 |
Last Update Date | 03/30/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215367891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |