Organization Active NPI

Charlotte Family Health Center Inc

  • Primary Care Clinic/Center
  • Charlotte, VT
National Provider Identifier
1093761835
Registry record updated Jul 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CHARLOTTE FAMILY HEALTH CENTER INC
Practice address
527 Ferry Rd
Charlotte, VT 05445-9555
Phone
(802) 425-2781
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2017

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

Authorized official

Name
Andrea V.B. Regan, MD
Title
MD
Phone
(802) 425-2781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

527 Ferry Rd
Charlotte, VT 05445-9555

Mailing address

PO Box 38
Charlotte, VT 05445-0038
Phone (802) 425-2781

Other identifiers 1

IdentifierTypeStateIssuer
0VN1113MedicaidVT

Other names 1

  • Charlotte Family Health Inc Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499385600000",
    "number": "1093761835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054450038",
            "telephone_number": "802-425-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 FERRY RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459555",
            "telephone_number": "802-425-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE FAMILY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2017-07-07",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "V.B.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "802-425-2781",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1113",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlotte Family Health Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Charlotte, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.