Provider Demographics
NPI:1619456985
Name:THE RICHFORD HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:THE RICHFORD HEALTH CENTER, INC.
Other - Org Name:NOTCH PHARMACY
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:802-255-5560
Mailing Address - Street 1:44 MAIN STREET
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RICHFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05476
Mailing Address - Country:US
Mailing Address - Phone:802-255-5530
Mailing Address - Fax:802-255-5539
Practice Address - Street 1:44 MAIN STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:RICHFORD
Practice Address - State:VT
Practice Address - Zip Code:05476
Practice Address - Country:US
Practice Address - Phone:802-255-5530
Practice Address - Fax:802-255-5539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT038.00033473336C0003X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4702569OtherNCPDP
VT1011139Medicaid