NPIMap

Organization Active NPI

Springfield Medical Care Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Springfield, VT
National Provider Identifier
1457979130
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SPRINGFIELD MEDICAL CARE SYSTEMS INC
Practice address
140 Clinton St
Springfield, VT 05156-3304
Phone
(802) 886-8900
Fax
(802) 886-8949
NPI assigned
Jul 9, 2020
Last updated
Oct 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Andrew J Majka
Title
Cfo
Phone
(802) 886-8950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

140 Clinton St
Springfield, VT 05156-3304

Mailing address

100 River St
Springfield, VT 05156-2930
Phone (802) 886-8950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457979130. Details of each certification follow.

  • CCN 471870 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 471870

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SPRINGFIELD MEDICAL CARE SYSTEMS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 29, 2020
Last certification
Oct 29, 2020
Ownership / control type
For profit – corporation
Facility address
140 Clinton Street
Springfield, VT 05156

National Provider Directory

National Provider Directory

Locations

125 Main St
Charlestown, NH 03603
Phone (603) 542-1878

250 Ceda Rd
Charlestown, NH 03603
Phone (603) 826-5711

140 Clinton St
Springfield, VT 05156
Phone (802) 886-8900

Practitioners & affiliated clinicians

Practitioners 108

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 108

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1457979130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVER ST",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562930",
            "telephone_number": "802-886-8950",
            "fax_number": "802-886-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CLINTON ST",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051563304",
            "telephone_number": "802-886-8900",
            "fax_number": "802-886-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD MEDICAL CARE SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "MAJKA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "802-886-8950"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VT

Sources for this page

Verify at the official NPI Registry.