| Little Rivers Health Care, Inc. | |
|
437 South Main Street Bradford VT 05033 | |
| (802) 222-9276 | |
| Not Available |
| Full Name | Little Rivers Health Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 437 South Main Street, Bradford, Vermont |
| Authorized Official Name and Position | Andrew Barter (CEO) |
| Authorized Official Contact | 8022229276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Rivers Health Care, Inc. Po Box 8 Newbury VT 05051-0008 Ph: (802) 222-9276 | Little Rivers Health Care, Inc. 437 South Main Street Bradford VT 05033 Ph: (802) 222-9276 |
| NPI Number | 1316165129 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 05/24/2023 |
| Medicare PECOS PAC ID | 8224031497 |
|---|---|
| Medicare Enrollment ID | O20060821000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316165129 | NPI | - | NPPES |
| 1012614 | Medicaid | VT | |
| 1012615 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Little Rivers Health Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 437 S Main St, Bradford, VT 05033 Phone: 802-222-9276 |