NPIMap

Organization Active NPI

Northeast Washington County Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Cabot, VT
National Provider Identifier
1902008485
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTHEAST WASHINGTON COUNTY COMMUNITY HEALTH INC
Practice address
25 Common Road
Cabot, VT 05647-0999
Phone
(802) 563-2118
Fax
(802) 454-8339
NPI assigned
Jun 5, 2007
Last updated
Feb 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Authorized official

Name
Deborah Macritchie
Title
Chief Financial Officer
Phone
(802) 454-8336

Specialties & licenses 1

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

Addresses

Primary practice location

25 Common Road
Cabot, VT 05647-0999

Mailing address

P O Box 320
Plainfield, VT 05667-0320
Phone (802) 454-8336

Other names 1

  • CABOT HEALTH SERVICES Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060720000131 VT Part A Provider - Federally Qualified Health Center (FQHC) 7416960265 1 other NPI on this enrollment
Practice locations: Cabot, VT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902008485. Details of each certification follow.

Federally qualified health center certification: CCN 471817

Legal name
NORTHEAST WASHINGTON COUNTY COMMUNITY HEALTH, INC.
Doing business as
CABOT HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 31, 2006
Last certification
Aug 31, 2006
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jun 26, 1974 in VT
Enrollment address
25 Common Rd
Cabot, VT 56479731

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
The Health Center-Pharmacy8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

25 Common Rd
Cabot, VT 05647
Phone 8024548336377

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Deborah Macritchie Individual Corporate OfficerCfo Jan 1, 2019
Bruce Chapell Individual Corporate Director Jul 1, 2016
Kathryn Phillips Individual Corporate Director Jul 1, 2014
Paul Garski Individual Corporate Director Jun 30, 2006
John Matthew Individual Corporate OfficerCeo Jun 30, 1974
W-2 Managing EmployeeCeo Jun 30, 1974
Elizabeth Stern Individual Corporate Director Oct 1, 2014
Nancy Thomas Individual Corporate Director Jul 1, 2014
Denise Wheeler Individual Corporate Director Jun 30, 2006

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 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1902008485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 320",
            "city": "PLAINFIELD",
            "state": "VT",
            "postal_code": "056670320",
            "telephone_number": "802-454-8336",
            "fax_number": "802-454-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COMMON ROAD",
            "city": "CABOT",
            "state": "VT",
            "postal_code": "056470999",
            "telephone_number": "802-563-2118",
            "fax_number": "802-454-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST WASHINGTON COUNTY COMMUNITY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "MACRITCHIE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "802-454-8336"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CABOT HEALTH SERVICES",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CABOT HEALTH SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cabot, VT

Sources for this page

Verify at the official NPI Registry.