NPIMap

Organization Active NPI

Community Health Centers of Burlington Inc

  • Federally Qualified Health Center (FQHC)
  • Burlington, VT
National Provider Identifier
1942199088
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CENTERS OF BURLINGTON INC
Practice address
84 Pine St
Burlington, VT 05401-4441
Phone
(802) 864-7423
Fax
(802) 865-4117
NPI assigned
Jul 2, 2025
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

84 Pine St
Burlington, VT 05401-4441

Mailing address

617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250917001885 VT Part A Provider - Federally Qualified Health Center (FQHC) 2062491251 Practice locations: Burlington, VT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942199088. Details of each certification follow.

Federally qualified health center certification: CCN 471004

Legal name
COMMUNITY HEALTH CENTERS OF BURLINGTON INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 18, 2025
Last certification
Aug 18, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
84 Pine St
Burlington, VT 54014441

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Community Health Centers of Burlington Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 12

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 Oct 1, 2018
Jeffrey D McKee Individual Corporate OfficerCeo Jul 6, 2020
Corporate DirectorCeo Jul 6, 2020
Eric a Kratochvil Individual Corporate Director Oct 1, 2017
Elizabeth M Sightler Individual Corporate Director Oct 1, 2017
Rob a Gibson Individual Corporate Director Oct 1, 2016
Rachel Cummings Individual Corporate Director Oct 1, 2018
Kelley E Newell Individual Corporate Director Jan 1, 2012
Patricia Gratton Individual Corporate OfficerChief Financial Officer Jan 1, 2025
W-2 Managing EmployeeChief Financial Officer Jan 1, 2025
Richard H Taylor Individual Corporate Director Oct 1, 2012
Holly a Moriglioni Individual Corporate Director Oct 1, 2015
Thomas Moore Individual Corporate Director Aug 1, 2020
Saed Motahari Individual Corporate Director Aug 1, 2020

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1942199088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 RIVERSIDE AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011601",
            "telephone_number": "802-864-6309",
            "fax_number": "802-860-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 PINE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014441",
            "telephone_number": "802-864-7423",
            "fax_number": "802-865-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTERS OF BURLINGTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "HESSELTINE",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "802-264-8193"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.