NPIMap

Organization Active NPI

MH Health Care Services, PC

  • Nurse Practitioner
  • Manchester Center, VT
National Provider Identifier
1053754275
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MH HEALTH CARE SERVICES, PC
Practice address
5650 Main St
C/O VCS Health Center
Manchester Center, VT 05255-9711
Phone
(802) 776-3670
Fax
(802) 857-0498
NPI assigned
Apr 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Terry Layman, MD
Title
Corporate Medical Officer
Phone
(317) 727-8698

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

5650 Main St
C/O VCS Health Center
Manchester Center, VT 05255-9711

Mailing address

20 Winooski Falls Way Ste 400
Winooski, VT 05404-2239
Phone (802) 857-0400

Other names 1

  • Vermont Country Store Family Wellness Center Manchester Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D1065729Family Wellness Center Manchester5650 Main St, Manchester Center, VT 05255Certificate of waiverMar 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
MH Health Care Services PC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

5650 Main St
Manchester Center, VT 05255
Phone (802) 776-3670

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1053754275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WINOOSKI FALLS WAY STE 400",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054042239",
            "telephone_number": "802-857-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 MAIN ST",
            "address_2": "C/O VCS HEALTH CENTER",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559711",
            "telephone_number": "802-776-3670",
            "fax_number": "802-857-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH HEALTH CARE SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "LAYMAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CORPORATE MEDICAL OFFICER",
        "authorized_official_telephone_number": "317-727-8698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vermont Country Store Family Wellness Center Manchester",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manchester Center, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.