Provider Demographics
NPI:1093186660
Name:THE RICHFORD HEALTH CENTER INC
Entity Type:Organization
Organization Name:THE RICHFORD HEALTH CENTER INC
Other - Org Name:FAIRFIELD STREET HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-255-5561
Mailing Address - Street 1:44 MAIN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RICHFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05476-1153
Mailing Address - Country:US
Mailing Address - Phone:802-255-5580
Mailing Address - Fax:
Practice Address - Street 1:77 FAIRFIELD ST
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-1716
Practice Address - Country:US
Practice Address - Phone:802-527-4151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE RICHFORD HEALTH CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-08
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)Group - Multi-Specialty