ISLAND POND HEALTH CENTER – NPI #1730101312
Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

ISLAND POND HEALTH CENTER is a pharmacy located in ISLAND POND, VT. NPPES has assigned the NPI number 1730101312 to ISLAND POND HEALTH CENTER on July 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ISLAND POND HEALTH CENTER” is a dba name, the actual legal business name for this organization is NORTHERN COUNTIES HLTH CARE INC. The primary taxonomy selected by this provider is 3336C0002X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Clinic Pharmacy

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 ISLAND POND HEALTH CENTER below.

NPI Profile for
NORTHERN COUNTIES HLTH CARE INC

NPI Number
1730101312
Enumeration Date

(about 20 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 HLTH CARE INC
Doing Business As (dba): ISLAND POND HEALTH CENTER
Primary location
82 MAPLE STREET
ISLAND POND, VT 05846-0425
Phone: (802) 723-4300 Fax: (802) 723-4544
Mailing address
PO BOX 425
ISLAND POND, VT 05846-0425
Phone: Fax:
Organization Subpart
No
Authorized Official
JACK DONNELLY
DIR OF OPERATIONS
Phone: (802) 748-9405
Updated
Identifiers

Identifiers for ISLAND POND 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
OTHEROTHER ID NUMBER-COMMERCIAL NUMBER4703270
MEDICAIDVT0007175
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.

Taxonomy Classification / Specialization State License
3336C0002X
- Pharmacy / Clinic Pharmacy (Primary)

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.