Little Rivers Health Care, Inc. | |
437 S Main St Bradford VT 05033-8877 | |
(802) 222-9276 | |
Not Available |
Full Name | Little Rivers Health Care, Inc. |
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Speciality | Clinic/Center |
Location | 437 S Main St, Bradford, Vermont |
Authorized Official Name and Position | Andrew Barter (CEO) |
Authorized Official Contact | 8022224637 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Little Rivers Health Care, Inc. Po Box 8 Newbury VT 05051-0008 Ph: (802) 222-4637 | Little Rivers Health Care, Inc. 437 S Main St Bradford VT 05033-8877 Ph: (802) 222-9276 |
NPI Number | 1033163555 |
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Provider Enumeration Date | 05/20/2006 |
Last Update Date | 05/24/2023 |
Medicare PECOS PAC ID | 8224031497 |
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Medicare Enrollment ID | O20061003000417 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033163555 | NPI | - | NPPES |
1012614 | Medicaid | VT | |
1012615 | Medicaid | VT | |
30514747 | Medicaid | NH | |
30214368 | Medicaid | NH | |
30514771 | Medicaid | NH | |
30214359 | Medicaid | NH | |
30514746 | Medicaid | NH | |
30214346 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Carey J Brodzinski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225093636 PECOS PAC ID: 4981650694 Enrollment ID: I20050325000261 |
Provider Name | Marlene M Bristol |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982659132 PECOS PAC ID: 0547205171 Enrollment ID: I20050624000082 |
Provider Name | Maureen B Boardman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861433500 PECOS PAC ID: 5496775124 Enrollment ID: I20051130000686 |
Provider Name | Fay F Homan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588619647 PECOS PAC ID: 7214825710 Enrollment ID: I20060322000534 |
Provider Name | Stephen Genereaux |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679528723 PECOS PAC ID: 4587572243 Enrollment ID: I20061030000391 |
Provider Name | Susan P Hanewald |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215124920 PECOS PAC ID: 6305934233 Enrollment ID: I20071110000030 |
Provider Name | Simone R Lessac Chenen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528352549 PECOS PAC ID: 8820238546 Enrollment ID: I20140919000497 |
Provider Name | Mary Perry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891809265 PECOS PAC ID: 6608848338 Enrollment ID: I20141006001510 |
Provider Name | Katherine L Goyette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225446230 PECOS PAC ID: 2264755198 Enrollment ID: I20141230001700 |
Provider Name | Tracy M Thompson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801022132 PECOS PAC ID: 4880917467 Enrollment ID: I20150107000941 |
Provider Name | Laura Barber |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386728079 PECOS PAC ID: 9133150345 Enrollment ID: I20150820010603 |
Provider Name | Erin A Loskutoff |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033446216 PECOS PAC ID: 7719125731 Enrollment ID: I20160303001523 |
Provider Name | Tiffany M White |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992230098 PECOS PAC ID: 4183993967 Enrollment ID: I20170711001149 |
Provider Name | Amanda M Regis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700352762 PECOS PAC ID: 8022354315 Enrollment ID: I20190108000656 |
Provider Name | Grace M Kozik |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396243762 PECOS PAC ID: 7214275296 Enrollment ID: I20190218001022 |
Provider Name | Ayla R Priestley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679038806 PECOS PAC ID: 8921349077 Enrollment ID: I20190418000261 |
Provider Name | Celine J Croft |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902282858 PECOS PAC ID: 0446567051 Enrollment ID: I20190808001398 |
Provider Name | Alexandria Lee Noble |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467610378 PECOS PAC ID: 5890862585 Enrollment ID: I20200414000168 |
Provider Name | Emily Porter Oleson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942655840 PECOS PAC ID: 4587954763 Enrollment ID: I20201204002021 |
Provider Name | Aimie E Jalbert |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417276700 PECOS PAC ID: 7113150418 Enrollment ID: I20210325000945 |
Provider Name | Kimberly J Therrien |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942433073 PECOS PAC ID: 7315354909 Enrollment ID: I20210326001234 |
Provider Name | Patricia M Pratt |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730276379 PECOS PAC ID: 9335218411 Enrollment ID: I20220302000314 |
Provider Name | Crystal Leboeuf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033645726 PECOS PAC ID: 2163818287 Enrollment ID: I20220329002269 |
Provider Name | Rachel B Morse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881000313 PECOS PAC ID: 4385961580 Enrollment ID: I20220602002096 |
Provider Name | Jazmin I Smith |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134641764 PECOS PAC ID: 6002271186 Enrollment ID: I20230425000059 |
Provider Name | Mark J Rizzacasa |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649950114 PECOS PAC ID: 5294189254 Enrollment ID: I20230925001456 |
Provider Name | Michael Brandli |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1689344459 PECOS PAC ID: 4183062359 Enrollment ID: I20240406000189 |
Provider Name | Joel S Lazar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639199763 PECOS PAC ID: 0941108997 Enrollment ID: I20240406000226 |
Provider Name | Stacy J Baker |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225807258 PECOS PAC ID: 4789024811 Enrollment ID: I20240506003899 |
Little Rivers Health Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 437 South Main Street, Bradford, VT 05033 Phone: 802-222-9276 |