Provider Demographics
NPI:1972116762
Name:PEOPLE'S HEALTH & WELLNESS CLINIC
Entity Type:Organization
Organization Name:PEOPLE'S HEALTH & WELLNESS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:BELLE
Authorized Official - Last Name:GOLDFINGER-FEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-479-1229
Mailing Address - Street 1:553 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-2501
Mailing Address - Country:US
Mailing Address - Phone:802-479-1229
Mailing Address - Fax:
Practice Address - Street 1:553 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-2501
Practice Address - Country:US
Practice Address - Phone:802-479-1229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health