Community Health Centers of the Rutland Region, Inc.
NPI 1780969345ActiveOrganization· Pediatrics· Rutland, VT
Pediatrics in Rutland, Vermont, registered in NPPES in October 2011. The authorized official on file is Michael Gardner, Finance Director. Enrolled in Medicare as part a provider - federally qualified health center (fqhc) and part b supplier - clinic/group practice.
Overview
| NPI | 1780969345 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 14, 2011 |
| Last updated in NPPES | Jan 18, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Clinic/Center, Federally Qualified Health Center (FQHC) | 261QF0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Federally Qualified Health Center (FQHC) (VT); Part B Supplier - Clinic/Group Practice (VT) |
|---|
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