NPIMap

Organization Active NPI

Northern Counties Health Care, Inc.

Doing business as Northern Counties Dental Center

  • Dental Clinic/Center
  • Hardwick, VT
National Provider Identifier
1114044344
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NORTHERN COUNTIES HEALTH CARE, INC.
Doing business as
Northern Counties Dental Center
Practice address
151 North Main Street
Hardwick, VT 05843
Phone
(802) 472-2260
Fax
(802) 472-2263
NPI assigned
Mar 23, 2007
Last updated
Jan 30, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHERN COUNTIES HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Patrick Flood
Title
Executive Director/Ceo
Phone
(802) 748-9405

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary
Federally Qualified Health Center (FQHC) 261QF0400X

Addresses

Primary practice location

151 North Main Street
Hardwick, VT 05843

Mailing address

165 Sherman Drive
St. Johnsbury, VT 05819
Phone (802) 748-9405

Other identifiers 1

IdentifierTypeStateIssuer
2332OtherVTBC GROUP NUMBER

Other names 1

  • Northern Counties Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northern Counties Healt17 organizations share this tax ID, including this one
Part of
Northern Counties Healt

Other organizations with this tax ID 16

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

View all 16

Locations

151 N Main St
Hardwick, VT 05843
Phone (802) 472-2260

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1114044344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SHERMAN DRIVE",
            "city": "ST. JOHNSBURY",
            "state": "VT",
            "postal_code": "05819",
            "telephone_number": "802-748-9405",
            "fax_number": "802-748-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NORTH MAIN STREET",
            "city": "HARDWICK",
            "state": "VT",
            "postal_code": "05843",
            "telephone_number": "802-472-2260",
            "fax_number": "802-472-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN COUNTIES HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN COUNTIES HEALTH CARE, INC.",
        "enumeration_date": "2007-03-23",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "FLOOD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "802-748-9405"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP NUMBER",
            "identifier": "2332",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Counties Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hardwick, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.