CONCORD HEALTH CENTER – NPI #1295852549
Clinic/Center

CONCORD HEALTH CENTER is an AHC clinic located in SAINT JOHNSBURY, VT. NPPES has assigned the NPI number 1295852549 to CONCORD HEALTH CENTER on March 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CONCORD HEALTH CENTER” is a dba name, the actual legal business name for this organization is NORTHERN COUNTIES HEALTH CARE, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 5 years ago on Jun 11, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONCORD HEALTH CENTER below.

NPI Profile for
NORTHERN COUNTIES HEALTH CARE, INC.

NPI Number
1295852549
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHERN COUNTIES HEALTH CARE, INC.
Doing Business As (dba): CONCORD HEALTH CENTER
Primary location
185 SHERMAN DR
SAINT JOHNSBURY, VT 05819-9811
Phone: (802) 695-2512 Fax: (802) 695-1303
1 Other location(s):
201 East Main St
Concord, VT 05824
Phone: (802) 695-2512
Fax: (802) 695-1303
Mailing address
165 SHERMAN DRIVE
ST JOHNSBURY, VT 05819
Phone: (802) 748-9405 Fax: (802) 748-4540
Organization Subpart
No
Authorized Official
MICHAEL COSTA
EXECUTIVE DIRECTOR/CEO
Phone: (802) 748-9405
Updated
Certification Date
Jun 11, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CONCORD HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE PROVIDER NUMBERVT471801
MEDICAIDVT0473807
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.