Provider Demographics
NPI:1932326386
Name:HEALTH CARE & REHABILITATION SERVICES
Entity Type:Organization
Organization Name:HEALTH CARE & REHABILITATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:EDMUND
Authorized Official - Middle Name:H
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-463-3294
Mailing Address - Street 1:1 HOSPITAL CT
Mailing Address - Street 2:SUITE 410
Mailing Address - City:BELLOWS FALLS
Mailing Address - State:VT
Mailing Address - Zip Code:05101-1489
Mailing Address - Country:US
Mailing Address - Phone:802-463-3294
Mailing Address - Fax:802-463-1206
Practice Address - Street 1:1 HOSPITAL CT
Practice Address - Street 2:SUITE 410
Practice Address - City:BELLOWS FALLS
Practice Address - State:VT
Practice Address - Zip Code:05101-1489
Practice Address - Country:US
Practice Address - Phone:802-463-3294
Practice Address - Fax:802-463-1206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT6060010Medicaid
VTVT6166Medicare ID - Type Unspecified