NPIMap

Organization Active NPI

The Richford Health Center Inc

  • Family Medicine Physician
  • Alburg, VT
National Provider Identifier
1407843543
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE RICHFORD HEALTH CENTER INC
Practice address
64 Industrial Park Rd
Alburg, VT 05440-4057
Phone
(802) 796-4414
Fax
(802) 796-4415
NPI assigned
Oct 4, 2005
Last updated
Aug 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
THE RICHFORD HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Kathy Benoit
Title
Executive Director
Phone
(802) 255-5562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X VT Primary

Addresses

Primary practice location

64 Industrial Park Rd
Alburg, VT 05440-4057

Mailing address

44 Main St
Suite 200
Richford, VT 05476-1141
Phone (802) 255-5580

Other identifiers 4

IdentifierTypeStateIssuer
94697OtherVTMVP
0471813MedicaidVT
19697OtherVTBCBS
0000F04MedicaidVT

Other names 1

  • Alburg Health Center Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030818000019 VT Part A Provider - Federally Qualified Health Center (FQHC) 7012825631 Practice locations: Alburg, VT
O20040313000183 VT Part B Supplier - Clinic/Group Practice 7012825631 Receives reassigned benefits from 39 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alburg, VT; Enosburg Falls, VT; Fairfax, VT; Richford, VT; Saint Albans, VT; Swanton, VT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407843543. Details of each certification follow.

Federally qualified health center certification: CCN 471813

Legal name
THE RICHFORD HEALTH CENTER, INC.
Doing business as
ALBURG HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 12, 2003
Last certification
Sep 12, 2003
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 11, 1993 in VT
Enrollment address
64 Industrial Park Rd
Alburg, VT 54404170

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 9

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

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
47D2313487Alburg Health Center64 Industrial Park Rd, Alburg, VT 05440Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory
Part of
Richaford Health Center Inc

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Bryant J Reynolds Individual Corporate DirectorBoard Member Mar 14, 2012
Wendy Howard Individual Corporate Director Mar 1, 2019
Penny Wright Individual Corporate Director Mar 15, 2018
Marie E Langevin Individual Corporate DirectorBoard Member Mar 9, 2022
Lise T Gates Individual Corporate DirectorBoard Member Mar 14, 2012 6.25%
Robert M Zelazo Individual Corporate Director Apr 1, 2017
Kathy Benoit Individual Corporate OfficerCeo Nov 14, 2022
W-2 Managing EmployeeCeo Nov 14, 2022
Sarah Hadd Individual Corporate DirectorBoard Member Mar 8, 2023
Michel Consejo Individual Corporate Director Mar 1, 2016
Daniel Carswell Individual Corporate Director Mar 13, 2013
Naomi Wolcott-Maccausland Individual Corporate Director Mar 15, 2018
Vaughn Comeau Individual Corporate DirectorBoard Member Aug 14, 2024
Vanessa B Kittell Individual Corporate DirectorBoard Member Aug 14, 2024

Practitioners & affiliated clinicians

Practitioners 84

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 84

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1407843543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MAIN ST",
            "address_2": "SUITE 200",
            "city": "RICHFORD",
            "state": "VT",
            "postal_code": "054761141",
            "telephone_number": "802-255-5580",
            "fax_number": "802-255-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 INDUSTRIAL PARK RD",
            "city": "ALBURG",
            "state": "VT",
            "postal_code": "054404057",
            "telephone_number": "802-796-4414",
            "fax_number": "802-796-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RICHFORD HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE RICHFORD HEALTH CENTER INC",
        "enumeration_date": "2005-10-04",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "BENOIT",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "802-255-5562"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "94697",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0471813",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "19697",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000F04",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alburg Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Alburg Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alburg, VT

Sources for this page

Verify at the official NPI Registry.