NPIMap

Organization Active NPI

North Country Hospital & Health Center Inc

  • Rural Health Clinic/Center
  • Barton, VT
National Provider Identifier
1104868892
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NORTH COUNTRY HOSPITAL & HEALTH CENTER INC
Practice address
488 Elm St
Barton, VT 05822-8637
Phone
(802) 525-3539
Fax
(802) 525-3088
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Deborah L Brown
Title
Enrollment Specialist
Phone
(802) 334-3210

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

488 Elm St
Barton, VT 05822-8637

Mailing address

189 Prouty Dr
Newport, VT 05855-9326
Phone (802) 334-7331

Other identifiers 6

IdentifierTypeStateIssuer
0473987MedicaidVT
NORT00029083OtherVTBLUE SHIELD
0VN1505MedicaidVT
CA2318OtherVTMEDICARE RR
101315300OtherVTWC - US DEPT OF LABOR
8000697OtherVTLADIES FIRST

Other names 1

  • North Country Primary Care Barton Orleans Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041001000799 VT Part B Supplier - Clinic/Group Practice 9739073479 Receives reassigned benefits from 7 practitioners
Practice locations: Barton, VT
O20060807000416 VT Part A Provider - Rural Health Clinic 9739073479 Practice locations: Barton, VT

Rural health clinic certification: CCN 473987

Legal name
NORTH COUNTRY HOSPITAL & HEALTH CENTER INC
Doing business as
NORTH COUNTRY PRIMARY CARE BARTON OLEANS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 17, 2007
Last certification
Sep 22, 2025
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Sep 6, 1969 in VT
Enrollment address
488 Elm St
Barton, VT 05822-8637
Related CCNs
471304

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4a15a283-6747-4ef7-984f-ce0e904fd6f0/

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ellen Stanley Individual Corporate DirectorBoard Member-Finanxe Chair & Tresur Jan 1, 2024
Louise Bonvechio Individual Corporate OfficerBoard Member-Chair Jan 1, 2022
Gregory a Walker Individual Corporate OfficerBoard Member-Med Staff President Jan 1, 2022
Nancy Bullock Individual Corporate OfficerBoard Member-Secretary/Clerk Jan 1, 2022
Tracey Paul Individual Corporate OfficerCoo Jan 20, 2022
W-2 Managing EmployeeAd; Jan 20, 2022
Anita Flagg Individual Corporate OfficerCfo Nov 1, 2025
W-2 Managing EmployeeCfo Nov 1, 2025
Steven Wright Individual Corporate OfficerBoard Member- Vice Chair Jan 1, 2024
Deborah L Brown Individual W-2 Managing EmployeeEnrollment Specialist Dec 31, 2018

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 68

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

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1104868892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 PROUTY DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559326",
            "telephone_number": "802-334-7331",
            "fax_number": "802-334-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 ELM ST",
            "city": "BARTON",
            "state": "VT",
            "postal_code": "058228637",
            "telephone_number": "802-525-3539",
            "fax_number": "802-525-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY HOSPITAL & HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "802-334-3210"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0473987",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "NORT00029083",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1505",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CA2318",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WC - US DEPT OF LABOR",
            "identifier": "101315300",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LADIES FIRST",
            "identifier": "8000697",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Country Primary Care Barton Orleans",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Country Primary Care Barton Orleans",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barton, VT

Sources for this page

Verify at the official NPI Registry.