Community Health Centers of the Rutland Region, Inc.

NPI #1336193838 in Bomoseen, Vermont

Provider Information

NPI Number: 1336193838
Entity Type: Organization
Organization Name: Community Health Centers of the Rutland Region, Inc.
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: May 19, 2006
Last Updated: Jun 21, 2021

Practice Location

Address: 275 ROUTE 30 N
City: Bomoseen
State: Vermont
ZIP Code: 05732-9647
Phone: (802) 468-5641

Authorized Official

Name: MR. MICHAEL L GARDNER
Title: FINANCE DIRECTOR
Phone: (802) 855-2080

Specialties & Taxonomy Codes

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

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