| NPI | 1992822555 |
|---|---|
| Doing Business As | ISLAND POND HEALTH & DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | PATRICK FLOOD Executive Director/CEO 802-748-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2014-01-30 |