Organization Name: | LITTLE RIVERS HEALTH CARE, INC. |
NPI Number: | 1033163555 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GAIL AUCLAIR (CEO) |
Mailing Address: | 437 S Main St Bradford |
State: | VT US |
Postal Code: | 050338877 |
Phone Number: | 8022229276 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 07/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |