SHOREWELL COMMUNITY HEALTH CENTER – NPI #1811241094
Clinic/Center
SHOREWELL COMMUNITY HEALTH CENTER is an AHC clinic located in SHOREHAM, VT. NPPES has assigned the NPI number 1811241094 to SHOREWELL COMMUNITY HEALTH CENTER on November 09, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHOREWELL COMMUNITY HEALTH CENTER” is a dba name, the actual legal business name for this organization is COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, 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 9 years ago on Jan 18, 2017. 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 SHOREWELL COMMUNITY HEALTH CENTER below.
NPI Profile for
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC
(more than 13 years ago)
SHOREHAM, VT 05770-9728 Phone: (802) 897-7000 Fax: (802) 897-7718
SUITE 101
RUTLAND, VT 05701-4570 Phone: (800) 468-9118 Fax: (802) 772-7973
FINANCE DIRECTOR
Phone: (802) 885-2083
Identifiers for SHOREWELL COMMUNITY 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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | NY | 03891792 | |
| MEDICAID | VT | 1021223 | |
| MEDICAID | VT | 0471844 |
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.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QF0400X - Clinic/Center / Federally Qualified Health Center (FQHC) (Primary) |
||
| 207Q00000X - Family Medicine |
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.