Community Health Centers of the Rutland Region

NPI #1912502212 in Rutland, Vermont

Provider Information

NPI Number
1912502212
Entity Type
Organization
Organization Name
Community Health Centers of the Rutland Region
Subpart
Yes (part of a larger organization)
Parent Organization
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Dec 3, 2020
Last Updated
Dec 3, 2020

Practice Location

Address
69 ALLEN ST STE 7
State
Vermont
ZIP Code
05701-4564
Phone
(800) 468-9118

Authorized Official

Name
MELISSA BOVEY
Title
CREDENTIALING SPECIALIST
Phone
(800) 468-9118

Specialties & Taxonomy Codes

Specialty
Dentist
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)
Dentist - Pediatric DentistryPediatric Dentistry

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