NPIMap

Organization Active NPI

Carlos G Otis Health Care Center Inc

Doing business as Grace Cottage Family Health

  • Rural Health Clinic/Center
  • Townshend, VT
National Provider Identifier
1124049960
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CARLOS G OTIS HEALTH CARE CENTER INC
Doing business as
Grace Cottage Family Health
Practice address
185 Grafton Rd.
Townshend, VT 05353
Phone
(802) 365-4331
NPI assigned
Jul 21, 2006
Reactivated
Jun 6, 2020
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Stephen Alan Brown
Title
Cfo
Phone
(802) 365-3601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

185 Grafton Rd.
Townshend, VT 05353

Mailing address

PO Box 216
Townshend, VT 05353-0216
Phone (802) 365-4331

Other identifiers 1

IdentifierTypeStateIssuer
OVN0834MedicaidVT

Other names 1

  • Grace Cottage Family Health Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040802001147 VT Part B Supplier - Clinic/Group Practice 6002726387 Receives reassigned benefits from 89 practitioners
1 other NPI on this enrollment
Practice locations: Townshend, VT
O20070607000603 VT Part A Provider - Rural Health Clinic 6002726387 Practice locations: Townshend, VT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124049960. Details of each certification follow.

Rural health clinic certification: CCN 473981

Legal name
CARLOS G OTIS HEALTH CARE CENTER INC
Doing business as
OTIS HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 27, 1995
Last certification
Nov 21, 2022
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 30, 1949 in VT
Enrollment address
185 Grafton Rd
Townshend, VT 05353-8820
Related CCNs
471300

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Edward Druke Individual Corporate Officer Nov 1, 2018
Laure O Sweetnam Individual Corporate OfficerCeo Jul 1, 2024
Timothy Philip Shafer Individual Corporate Director Nov 23, 2009 100%
Martha Dale Individual Corporate Officer Nov 1, 2018
Kevin Meyer Individual Corporate DirectorVice-President Jan 5, 2009 100%
Thomas Kalchthaler Individual Corporate Officer Nov 1, 2018
John G. Clark Individual Corporate Officer Nov 1, 2018
Barry Emerson Individual Corporate DirectorTreasurer Nov 18, 2011 100%
Shelia Scheuerman Individual Corporate Officer Nov 1, 2018
Terry Pollio Individual Corporate Officer Nov 1, 2018
Stephen Alan Brown Individual Corporate DirectorCfo Dec 1, 1988
W-2 Managing EmployeeCfo Dec 1, 1988 100%

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 94

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.

View all 94

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1124049960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "TOWNSHEND",
            "state": "VT",
            "postal_code": "053530216",
            "telephone_number": "802-365-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 GRAFTON RD.",
            "city": "TOWNSHEND",
            "state": "VT",
            "postal_code": "05353",
            "telephone_number": "802-365-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS G OTIS HEALTH CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "deactivation_date": "2020-06-02",
        "reactivation_date": "2020-06-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "802-365-3601"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN0834",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Cottage Family Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Cottage Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Townshend, VT

Sources for this page

Verify at the official NPI Registry.