Provider Demographics
NPI:1174844591
Name:THE RICHFORD HEALTH CENTER INC
Entity Type:Organization
Organization Name:THE RICHFORD HEALTH CENTER INC
Other - Org Name:NOTCH DENTAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
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:05476-1141
Mailing Address - Country:US
Mailing Address - Phone:802-255-5500
Mailing Address - Fax:802-255-5589
Practice Address - Street 1:100 THUNDERBIRD DR
Practice Address - Street 2:BLGD DENTAL
Practice Address - City:SWANTON
Practice Address - State:VT
Practice Address - Zip Code:05488-8534
Practice Address - Country:US
Practice Address - Phone:802-255-5580
Practice Address - Fax:802-255-5589
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE RICHFORD HEALTH CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-21
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1006289Medicaid