Provider Demographics
NPI:1619140696
Name:THE RICHFORD HEALTH CENTER INC
Entity Type:Organization
Organization Name:THE RICHFORD HEALTH CENTER INC
Other - Org Name:ST ALBANS HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BENOIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-255-5562
Mailing Address - Street 1:44 MAIN ST
Mailing Address - Street 2:
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 1:3 CREST RD
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-9753
Practice Address - Country:US
Practice Address - Phone:802-524-4554
Practice Address - Fax:802-527-6792
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE RICHFORD HEALTH CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-10
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0000F04Medicaid
VT19697OtherBCBS
VTVN0879Medicare PIN
VTCK1568Medicare PIN
VT471827Medicare Oscar/Certification