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Organization Active NPI

Battenkill Valley Health Center, Inc

  • Family Medicine Physician
  • Arlington, VT
National Provider Identifier
1649942863
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BATTENKILL VALLEY HEALTH CENTER, INC
Practice address
18 Church St
Arlington, VT 05250-4457
Phone
(802) 375-6566
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Sandra Parks
Title
Finance & Billing Associate
Phone
(802) 440-5363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

18 Church St
Arlington, VT 05250-4457

Mailing address

PO Box 61
Arlington, VT 05250-0061
Phone (802) 375-6566

Other identifiers 1

IdentifierTypeStateIssuer
0471872MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210810002653 VT Part A Provider - Federally Qualified Health Center (FQHC) 2769612548 1 other NPI on this enrollment
Practice locations: Arlington, VT

Federally qualified health center certification: CCN 471872

Legal name
BATTENKILL VALLEY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 10, 2021
Last certification
Aug 10, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 27, 2014 in VT
Enrollment address
18 Church St
Arlington, VT 52504457

Other NPIs with the same Medicare PAC ID 1

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
Tax ID family
Battenkill Valley Health Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Joseph O'Dea Individual Corporate DirectorBoard Member Oct 20, 2022
Kimberly Tenner Individual Corporate DirectorBoard Member Oct 26, 2023
Sandra a Parks Individual W-2 Managing EmployeeFinance & Billing Associate Aug 15, 2022
June F Onorato Individual W-2 Managing EmployeeDirector of Quality Feb 27, 2014
Kayla Davis Individual Corporate DirectorProject Director Jan 28, 2018 100%
James Blanchard Individual Corporate DirectorBoard Member Jun 20, 2019
Brian P Cunningham Individual Corporate DirectorBoard Member Chair Nov 25, 2014
Carol Loeffler Gottlieb Individual Corporate DirectorBoard Member Secretary Aug 19, 2021
Christine Bongartz Individual Corporate DirectorBoard Member Apr 23, 2020
Mary Ann Carlson Individual Corporate DirectorBoard Member Jul 31, 2013
Carol Kirkland Individual Corporate DirectorBoard Member Oct 19, 2017
Russell Leslie Individual Corporate DirectorBoard Member Feb 20, 2024
James Martinez Individual Corporate DirectorBoard Member Treasurer Oct 21, 2021
Colin Sebastian Massey Individual Corporate DirectorBoard Member Mar 21, 2024
Peter K King Individual Corporate DirectorBoard Member Vice Chair Jun 17, 2021

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 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1649942863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "ARLINGTON",
            "state": "VT",
            "postal_code": "052500061",
            "telephone_number": "802-375-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CHURCH ST",
            "city": "ARLINGTON",
            "state": "VT",
            "postal_code": "052504457",
            "telephone_number": "802-375-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATTENKILL VALLEY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "FINANCE & BILLING ASSOCIATE",
        "authorized_official_telephone_number": "802-440-5363"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0471872",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VT

Sources for this page

Verify at the official NPI Registry.