| Twin River Health Center | |
|
108 N Main St White River Junction VT 05001-7056 | |
| (802) 296-7370 | |
| (802) 296-7174 |
| Full Name | Twin River Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 N Main St, White River Junction, Vermont |
| Authorized Official Name and Position | Daniel Bennett (CEO) |
| Authorized Official Contact | 8027282211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin River Health Center 44 S Main St Randolph VT 05060-1381 Ph: (802) 728-7000 | Twin River Health Center 108 N Main St White River Junction VT 05001-7056 Ph: (802) 296-7370 |
| NPI Number | 1073943999 |
|---|---|
| Provider Enumeration Date | 11/13/2013 |
| Last Update Date | 08/03/2021 |
| Medicare PECOS PAC ID | 2668624982 |
|---|---|
| Medicare Enrollment ID | O20140409000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073943999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Vermont) | Primary |
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