Active NPI
Mad River Family Health
- Rural Health Clinic/Center
- Waitsfield, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 042-0006636
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Francis Cook, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0473826 | Medicaid | VT |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Waitsfield, VT
- NPI 1700820115
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
- Sarah Lynn Kaplan, MSOM, L.AC.,DIPL. OM
- Elizabeth Iliff Kendrick, LCMHC, ATR-BC
- Danielle Christine Laflamme, ATC
- Lindsay B. Jernigan, PHD, PLC
- Mad River Eye Care PLLC
- Mad River Health PLLC
- Mad River Integrative Medicine
- Mad River Integrative Medicine
- Mad River Internal Medicine
- Mad River Valley Ambulance Service, Inc.
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.