Community Health Centers of the Rutland Region, Inc.

NPI #1073567590 in Brandon, Vermont

Provider Information

NPI Number: 1073567590
Entity Type: Organization
Organization Name: Community Health Centers of the Rutland Region, Inc.
Primary Specialty: Family Medicine
Enumeration Date: May 20, 2006
Last Updated: Sep 11, 2018

Practice Location

Address: 420 GROVE ST
City: Brandon
State: Vermont
ZIP Code: 05733-9062
Phone: (802) 247-6305

Authorized Official

Name: MICHAEL GARDNER
Title: FINANCE DIRECTOR
Phone: (802) 855-2083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Family Medicine	207Q00000X	Primary

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