Island Pond Health & Dental Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Island Pond, Vermont. The current practice location for Island Pond Health & Dental Center is 82 Maple Street, Island Pond, Vermont. For appointments, you can reach them via phone at
(802) 723-4300. The mailing address for Island Pond Health & Dental Center is 165 Sherman Drive, St Johnsbury, Vermont and phone number is (802) 748-9405.
Island Pond Health & Dental Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1992822555. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(802) 723-4300.
Primary Care Clinic Profile
| Full Name | Island Pond Health & Dental Center |
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| Speciality | Clinic/Center |
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| Location | 82 Maple Street, Island Pond, Vermont |
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| Authorized Official Name and Position | Patrick Flood (EXECUTIVE DIRECTOR/CEO) |
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| Authorized Official Contact | 8027489405 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Island Pond Health & Dental Center
165 Sherman Drive
St Johnsbury
VT 05819
Ph: (802) 748-9405 | Island Pond Health & Dental Center
82 Maple Street
Island Pond
VT 05846
Ph: (802) 723-4300 |
NPI Details:
| NPI Number | 1992822555 |
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| Provider Enumeration Date | 03/26/2007 |
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| Last Update Date | 01/30/2014 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 2860300936 |
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| Medicare Enrollment ID | O20100825000939 |
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Medical Identifiers
Medical identifiers for Island Pond Health & Dental Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992822555 | NPI | - | NPPES |
| 0473811 | Medicaid | VT | |
| 471804 | Other | VT | MEDICARE PROVIDER NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
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