MAD RIVER FAMILY HEALTH; NPI #1902984974

Contact Information

MAD RIVER FAMILY HEALTH

859 OLD COUNTY RD
WAITSFIELD, VT 05673-6093

Phone: 802-496-3838
Fax: 802-496-5586
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for MAD RIVER FAMILY HEALTH

NPI # 1902984974

LBN Legal business name MAD RIVER FAMILY HEALTH

Authorized official FRANCIS COOK - (PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/01/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

VT	License #	042-0006636
VT	Medicaid	0473826

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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