| Organization Name: | NORTHERN COUNTIES HEALTH CARE, INC. |
| NPI Number: | 1114044344 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICK FLOOD (EXECUTIVE DIRECTOR/CEO) |
| Mailing Address: | 151 North Main Street Hardwick |
| State: | VT US |
| Postal Code: | 05843 |
| Phone Number: | 8024722260 |
| Fax Number: | 8024722263 |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 01/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |