Whalio Doctors

NPI 1295852549

Northern Counties Health Care, INC.

Organisation Federally Qualified Health Center (FQHC) St Johnsbury, VT

Practice location

Address
185 Sherman Dr, St Johnsbury, VT 05819-9811
Phone
(802) 695-2512
Fax
(802) 695-1303
Mailing address
165 Sherman Drive, St Johnsbury, VT 05819

Authorised official

Name
Michael Costa
Title
Executive Director/Ceo
Phone
(802) 748-9405

Registered specialties (3)

Federally Qualified Health Center (FQHC) Primary
Ambulatory Health Care Facilities Taxonomy 261QF0400X
Health Service Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QH0100X
Clinical Medical Laboratory
Laboratories Taxonomy 291U00000X

Registry record

NPI
1295852549
Entity type
Organization
NPI issued
23 Mar 2007
Record last updated
11 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.