Community Health Centers of Burlington Inc

Organization Active NPI Family Medicine Physician · Burlington, VT

NPI 1689678963 · NPPES record last updated Apr 20, 2026

Key facts

NPI
1689678963
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
24908 (VT)
Legal business name
COMMUNITY HEALTH CENTERS OF BURLINGTON INC
Practice address
617 Riverside Ave
Burlington, VT 05401-1601
Phone
(802) 264-8159
Fax
(802) 860-4325
NPI assigned
Jun 2, 2005
Organization subpart
No

Authorized official

Name
Justine Hope Hesseltine
Title
Director of Revenue Cycle
Phone
(802) 264-8193

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 4

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

Member organizations 1

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

Practitioners 113

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

View all 113

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in VT

Federally qualified health center certification: CCN 471880

Legal name
COMMUNITY HEALTH CENTERS OF BURLINGTON INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 2, 2022
Last certification
Aug 2, 2022
Ownership / control type
For profit – corporation
Organization structure
Other · Non-profit
Incorporated
Aug 1, 1971 in VT
Enrollment address
87 Main St
Essex Junction, VT 54523234

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Heather Danis
Individual
Corporate Director
Director
Oct 1, 2017
Justine Hesseltine
Individual
Corporate Director Aug 15, 2025
W-2 Managing Employee Aug 15, 2025
Rob a Gibson
Individual
Corporate Officer
President
Oct 1, 2016
Patricia Gratton
Individual
Corporate Officer Jan 1, 2025
W-2 Managing Employee Jan 1, 2025
Holly a Moriglioni
Individual
Corporate Officer
Secretary
Oct 1, 2015

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040720000792 VT Part B Supplier - Clinic/Group Practice 2062491251 Receives reassigned benefits from 97 practitioners
Practice locations: Burlington, VT; Winooski, VT; South Hero, VT; South Burlington, VT; Essex Junction, VT
O20220401000122 VT Part a Provider - Federally Qualified Health Center (FQHC) 2062491251 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Essex Junction, VT

National Provider Directory

Locations

84 Pine St
Fl 2
Burlington, VT 05401
Phone (802) 864-7423

368 Dorset St
Ste 1
South Burlington, VT 05403
Phone (802) 860-1441

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207Q00000X 24908 VT Yes

Addresses

Primary practice location

617 Riverside Ave
Burlington, VT 05401-1601

Mailing address

617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 264-8193

Other practice location 1

52 Community Ln
South Hero, VT 05486-4418
Phone (802) 372-5132

Other practice location 2

84 Pine St Fl 2
Burlington, VT 05401-4441
Phone (802) 864-7423

Other practice location 3

32 Malletts Bay Ave Ste B
Winooski, VT 05404-1960
Phone (802) 655-4422

Other practice location 4

76 Glen Rd
Burlington, VT 05401-4131
Phone (802) 864-7427

Other practice location 5

368 Dorset St Ste 1
South Burlington, VT 05403-6236
Phone (802) 860-7070

Other practice location 6

87 Main St
Essex Junction, VT 05452-3234
Phone (802) 864-6309

Other practice location 7

179 Pearl St
Burlington, VT 05401-3704
Phone (802) 652-1080

Other practice location 8

184 S Winooski Ave
Burlington, VT 05401-4535
Phone (802) 860-4310

Other practice location 9

789 Pine St
Burlington, VT 05401-4924
Phone (802) 864-0693

Other practice location 10

300 Pearl St
Burlington, VT 05401-8531
Phone (802) 658-4200

Other identifiers

IdentifierTypeStateIssuer
VT4600OtherVTVERMONT MANAGED CARE
8000704OtherVTLADIES FIRST
4600MedicaidVT
VT4600OtherVTBLUE CROSS BLUE SHIELD

Other providers in Burlington, VT

All providers in Burlington, VT · Family Medicine Physician in Vermont

Sources for this page

Verify at the official NPI Registry.