Organization Active NPI

Mad River Family Health

  • Rural Health Clinic/Center
  • Waitsfield, VT
National Provider Identifier
1902984974
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
042-0006636 Issued in VT
Legal business name
MAD RIVER FAMILY HEALTH
Practice address
859 Old County Rd
Waitsfield, VT 05673-6093
Phone
(802) 496-3838
Fax
(802) 496-5586
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Francis Cook, MDNPI 1700820115
Title
Physician
Phone
(802) 496-3838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 042-0006636 VT Primary

Addresses

Primary practice location

859 Old County Rd
Waitsfield, VT 05673-6093

Mailing address

859 Old County Rd
Waitsfield, VT 05673-6093
Phone (802) 496-3838

Other identifiers 1

IdentifierTypeStateIssuer
0473826MedicaidVT

National Provider Directory

National Provider Directory

Locations

859 Old County Rd
Waitsfield, VT 05673
Phone (802) 496-3838

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902984974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 OLD COUNTY RD",
            "city": "WAITSFIELD",
            "state": "VT",
            "postal_code": "056736093",
            "telephone_number": "802-496-3838",
            "fax_number": "802-496-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 OLD COUNTY RD",
            "city": "WAITSFIELD",
            "state": "VT",
            "postal_code": "056736093",
            "telephone_number": "802-496-3838",
            "fax_number": "802-496-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAD RIVER FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "802-496-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "VT",
            "license": "042-0006636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0473826",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waitsfield, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.