| Five-town Health Alliance, Inc | |
|
56 College St Middlebury VT 05753-1447 | |
| (802) 453-5028 | |
| Not Available |
| Full Name | Five-town Health Alliance, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 56 College St, Middlebury, Vermont |
| Authorized Official Name and Position | Martha A Halnon (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8024535116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Five-town Health Alliance, Inc 74 Munsill Ave Ste 100 Bristol VT 05443-1047 Ph: (802) 453-5028 | Five-town Health Alliance, Inc 56 College St Middlebury VT 05753-1447 Ph: (802) 453-5028 |
| NPI Number | 1528620838 |
|---|---|
| Provider Enumeration Date | 07/08/2019 |
| Last Update Date | 07/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528620838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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