Five-Town Health Alliance, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

FIVE-TOWN HEALTH ALLIANCE, INC

Doing business as

Mountain Health Ctr.

Practice address

56 College St
Middlebury, VT 05753-1447

Phone

(802) 453-5028

NPI assigned

Jul 8, 2019

Last updated

Jul 8, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

FIVE-TOWN HEALTH ALLIANCE, INCAs reported in NPPES

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

Authorized official

Name

Martha A Halnon

Title

Chief Executive Officer

Phone

(802) 453-5116

Specialties & licenses 2

Addresses

Other names 1

• Mountain Health Ctr. Doing business as

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Five-Town Health Alliance, Inc

  dba Mountain Community Health

  • Dentist
  • Bristol, VT
  • NPI 1013562636

  O20121204000030

  Same enrollment
• Five-Town Health Alliance, Inc

  dba Mountain Community Health

  • Federally Qualified Health Center (FQHC)
  • Bristol, VT
  • NPI 1871840843

  O20121204000030

  Same enrollment

Tax ID family

Five-Town Health Alliance I2 organizations share this tax ID, including this one

Part of

Five-Town Health Alliance I

Other organizations with this tax ID 1

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

• Five-Town Health Alliance, Inc

  dba Mountain Community Health

  • Dentist
  • Bristol, VT
  • NPI 1013562636
  NPD tax ID

Locations

Practitioners 1

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.

• David Benjamin Turner, M.D.

  • Family Medicine Physician
  • Rutland, VT
  • NPI 1114010881
  NPD

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1528620838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MUNSILL AVE STE 100",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054431047",
            "telephone_number": "802-453-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 COLLEGE ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531447",
            "telephone_number": "802-453-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE-TOWN HEALTH ALLIANCE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE-TOWN HEALTH ALLIANCE, INC",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "HALNON",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "802-453-5116"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Health Ctr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Ferrone
• Maxine Elizabeth Fidler, N.D., L.AC.
• Annie May Field, L.I.C.S.W
• Elizabeth H Field, LICSW
• Alison M Finch, APRN
• Anna Fleischer
• David S. Fleischer, DACM
• Dedra M Flynn, MD
• Patricia Ann Fogg
• Benjamin Walden Fox, MA, MHC

• Federally Qualified Health Center (FQHC) in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Federally Qualified Health Center (FQHC) in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.