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NPI 1225400237 · live from the CMS NPI Registry

Community Health Centers Of The Rutland Region, INC.

Clinic/Center, Federally Qualified Health Center (FQHC) in Rutland, VT. National Provider Identifier 1225400237, active.

NPI record

NPI1225400237 Type 2 · organization
StatusActive
Primary specialtyClinic/Center, Federally Qualified Health Center (FQHC) 261QF0400X
Practice location71 Allen Pond, Suite 403, Rutland, VT 05701
Practice phone802-772-7992
Mailing address71 Allen St, Suite 101, Rutland, VT 05701
EnumeratedOctober 29, 2015
Last updatedFebruary 17, 2025
Authorized officialMichael Gardner, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Optometrist152W00000X—
Family Medicine207Q00000X—
Ophthalmology207W00000X—
Clinic/Center, Federally Qualified Health Center (FQHC) primary261QF0400X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.