NPIMap

Organization Active NPI

Springfield Medical Care Systems Inc.

  • Federally Qualified Health Center (FQHC)
  • Springfield, VT
National Provider Identifier
1891010534
Registry record updated Jun 29, 2010
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
368 River St
Springfield, VT 05156-2242
Phone
(802) 886-2526
Fax
(802) 886-2225
NPI assigned
Apr 6, 2010
Last updated
Jun 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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) 885-7629

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

368 River St
Springfield, VT 05156-2242

Mailing address

PO Box 710
Springfield, VT 05156-0710
Phone (802) 885-5785

Other identifiers 1

IdentifierTypeStateIssuer
1016735MedicaidVT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1891010534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051560710",
            "telephone_number": "802-885-5785",
            "fax_number": "802-885-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 RIVER ST",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562242",
            "telephone_number": "802-886-2526",
            "fax_number": "802-886-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD MEDICAL CARE SYSTEMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-06-29",
        "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": "802-885-7629"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016735",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.