CARLOS G OTIS HEALTH CARE CENTER INC (NPI# 1093843328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093843328 |
| Entity Type | Organization |
| Organization Name | CARLOS G OTIS HEALTH CARE CENTER INC |
| Other Organization Name | GRACE COTTAGE SWING BED |
| Practice Address |
185 Grafton Rd Townshend VT 05353 |
| Mailing Address |
Po Box 216 Townshend VT 05353-0216 |
| Practice Telephone | 8023657357 |
| Practice Fax Number | 8023657031 |
| Mailing Telephone | 8023653601 |
| Mailing Fax Number | 8023657031 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-06-02 |
| Authorized Official Name | STEPHEN ALAN BROWN (CFO) |
| Authorized Official Telephone | 8023653601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 686 | VT | Hospital Units |
| Other Name | Type Code |
|---|---|
| GRACE COTTAGE SWING BED | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205930336 | Carlos G Otis Health Care Center Inc | Durable Medical Equipment & Medical Supplies | 170 Grafton Rd, Townshend, VT 05353 | 2006-09-11 |
| 1881613354 | Carlos G Otis Health Care Center Inc | Clinic/Center | 1154 Vt Route 30, Townshend, VT 05353 | 2006-07-18 |
| Street Address |
185 GRAFTON RD |
| City | TOWNSHEND |
| State | VT |
| Zip Code | 05353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337473 | Carlos G. Otis Health Care Center Inc. | General Acute Care Hospital | 185 Grafton Rd, Townshend, VT 05353 | 2005-06-22 |
| 1184276842 | Summer Burch | Nurse Practitioner | 185 Grafton Rd, Townshend, VT 05353-8820 | 2019-07-12 |
| 1376013235 | Kathleen Margaret Clark | Nurse Practitioner | 185 Grafton Rd, Townshend, VT 05353-0216 | 2018-12-04 |
| 1760867956 | Benjamin Warren Wright | Nurse Practitioner | 185 Grafton Rd, Townshend, VT 05353-0216 | 2015-07-29 |
| 1043263809 | Mario Hasaj | Psychologist | 185 Grafton Rd, Townshend, VT 05353 | 2006-05-19 |
| 1225016793 | Alexandra Barstow | Family Medicine | 185 Grafton Rd, Townshend, VT 05353 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225302615 | Mario Hasaj, LLC | Psychiatry & Neurology | 2643 Grafton Road, Mario Hasaj, LLC, Townshend, VT 05353 | 2012-03-02 |
| 1205930336 | Carlos G Otis Health Care Center Inc | Durable Medical Equipment & Medical Supplies | 170 Grafton Rd, Townshend, VT 05353 | 2006-09-11 |
| 1598755068 | Maurice Geurts | Family Medicine | 185 Grafton Rd., Townshend, VT 05353 | 2005-10-26 |
| 1134119514 | Moss Linder | Family Medicine | 185 Grafton Road, Townshend, VT 05353 | 2005-10-26 |
| 1639510787 | Telos, LLC | Family Medicine | 152 Grafton Road, Townshend, VT 05353 | 2013-07-17 |
| 1497012793 | Danny Paul Ballentine | Physician Assistant | 185 Grafton Road, Townshend, VT 05353 | 2012-04-12 |
| 1194081737 | Jesper Jerome Brickley | Family Medicine | 185 Grafton Road, Townshend, VT 05353 | 2012-04-09 |
| 1710175385 | Maureen Mary Mahoney | Physician Assistant | 185 Grafton Road, Townshend, VT 05353 | 2007-10-09 |
| 1952447971 | Amalia F Lee | Psychiatry & Neurology | 185 Grafton Road, Townshend, VT 05353 | 2007-01-29 |
| 1407947039 | Donald J. Jackson | Physician Assistant | 185 Grafton Rd., Townshend, VT 05353 | 2006-09-27 |
| Find all providers in zip 05353 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831351451 | Copley Hospital Inc | Medicare Defined Swing Bed Unit | 528 Washington Hwy, Morrisville, VT 05661-8973 | 2008-06-25 |
| 1750599387 | Northwestern Medical Center | Medicare Defined Swing Bed Unit | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2007-05-18 |
| 1053436956 | Northeastern Vermont Regional Hospital, Inc | Medicare Defined Swing Bed Unit | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2007-03-20 |
| 1265578777 | Porter Hospital Inc | Medicare Defined Swing Bed Unit | 115 Porter Drive, Middlebury, VT 05753 | 2007-01-30 |
| 1912053794 | North Country Hospital & Health Center Inc | Medicare Defined Swing Bed Unit | 189 Prouty Dr, Newport, VT 05855-9326 | 2007-01-26 |
| 1013928068 | Gifford Medical Center Inc | Medicare Defined Swing Bed Unit | 44 S Main St, Box 2000, Randolph, VT 05060-1381 | 2006-08-11 |
| 1568414365 | Copley Hospital, Inc. | Medicare Defined Swing Bed Unit | 528 Washington Highway, Morrisville, VT 05661-8973 | 2006-05-17 |
| 1174587927 | Rutland Hospital, Inc | Medicare Defined Swing Bed Unit | 160 Allen St, Rutland, VT 05701-4560 | 2006-04-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.