COLD HOLLOW FAMILY PRACTICE (NPI# 1396904520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396904520 |
| Entity Type | Organization |
| Organization Name | COLD HOLLOW FAMILY PRACTICE |
| Practice Address |
84 Water Tower Rd Suite 1 Enosburg Falls VT 05450-6097 |
| Practice Telephone | 8029336664 |
| Practice Fax Number | 8029338333 |
| Mailing Telephone | 8029336664 |
| Mailing Fax Number | 8029338333 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |
| Authorized Official Name | CANDACE M COLLINS (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 8029336664 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0VN1159 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902064496 | Cold Hollow Family Practice | Pharmacy | 84 Water Tower Rd, Suite 1, Enosburg Falls, VT 05450-6097 | 2008-05-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | COLD HOLLOW FAMILY PRACTICE | Two North Main St, St Albans, VT 05478 |
| Vermont Business Registrations | COLD HOLLOW FAMILY PRACTICE, P.C. | 84 Water Tower Rd, Ste 1, Enosburg Falls, VT 05450 |
| Street Address |
84 WATER TOWER RD SUITE 1 |
| City | ENOSBURG FALLS |
| State | VT |
| Zip Code | 05450-6097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134115090 | Lorne Marshall Newton Babb | Family Medicine | 84 Water Tower Rd, Suite 1, Enosburg Falls, VT 05450-6097 | 2005-09-26 |
| 1902064496 | Cold Hollow Family Practice | Pharmacy | 84 Water Tower Rd, Suite 1, Enosburg Falls, VT 05450-6097 | 2008-05-30 |
| 1194803387 | Ronald Scott Debruin | Dentist | 84 Water Tower Rd, Unit #2, Enosburg Falls, VT 05450-6097 | 2006-11-02 |
| 1902892870 | Cold Hollow Family Practice PC | Family Medicine | 84 Water Tower Rd, Suite 1, Enosburg Falls, VT 05450-6097 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467976381 | Richard William Gallagher | Nurse Practitioner | Enosburg Health Center, 382 Main Street, Enosburg Falls, VT 05450 | 2017-08-02 |
| 1225139181 | Stelise Inc | Pharmacy | 366 Main St, Enosburg Falls, VT 05450 | 2006-09-25 |
| 1669948279 | Shaina Mae Lussier | Social Worker | 382 Main Street, Enosburg, VT 05450 | 2018-10-22 |
| 1902313331 | Ezra Bashaw | Physician Assistant | 382 Main Street, Enosburg Falls, VT 05450 | 2018-01-08 |
| 1730603390 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 221 Main St, Enosburg Falls, VT 05450 | 2017-07-26 |
| 1326583857 | George Danial | Pharmacist | 221 Main Street, Enosburg, VT 05450 | 2016-12-19 |
| 1043766306 | Alecia Lee Rowe | Pharmacist | 221 Main Street, Enosburg Falls, VT 05450 | 2016-08-28 |
| 1669815577 | Bobbie A Gilpin | Massage Therapist | 303 Main St, Enosburg, VT 05450 | 2013-04-10 |
| 1134478712 | Andrew Gagne | Pharmacist | 221 Main Street, Enosburg Falls, VT 05450 | 2012-08-29 |
| 1366736944 | Deborah J Desautels | Pharmacist | 221 Main St, Enosburg Falls, VT 05450 | 2011-06-01 |
| Find all providers in zip 05450 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134115090 | Lorne Marshall Newton Babb | Family Medicine | 84 Water Tower Rd, Suite 1, Enosburg Falls, VT 05450-6097 | 2005-09-26 |
| 1184611378 | The Richford Health Center Inc | Family Medicine | 44 Center St, Enosburg Falls, VT 05450-5795 | 2005-10-03 |
| 1902892870 | Cold Hollow Family Practice PC | Family Medicine | 84 Water Tower Rd, Suite 1, Enosburg Falls, VT 05450-6097 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700469 | Gfm House Call Practice | Family Medicine | 23 Stratton, Winhall, VT 05340 | 2020-05-05 |
| 1447800792 | Peter M Sher, Md, Plc | Family Medicine | 4 S Main St Ste 6, Hardwick, VT 05843-7070 | 2019-09-18 |
| 1992353445 | Village Health, Inc. | Family Medicine | 5 Park St Ste 3a, Middlebury, VT 05753-1169 | 2019-08-28 |
| 1528620838 | Five-town Health Alliance, Inc | Family Medicine | 56 College St, Middlebury, VT 05753-1447 | 2019-07-08 |
| 1134604622 | Little Rivers Health Care, Inc. | Family Medicine | 36 Oxbow Dr, Bradford, VT 05033-9037 | 2018-10-01 |
| 1093179400 | Justin Cherng Chuang | Family Medicine | Cvmc Hospitalist Department, 130 Fisher Road, 3rd Floor, Berlin, VT 05602-9000 | 2016-04-12 |
| 1225400237 | Community Health Centers of The Rutland Region, Inc. | Family Medicine | 71 Allen Pond, Suite 403, Rutland, VT 05701-4570 | 2015-10-29 |
| 1871927806 | Langdon Swain Lawrence | Family Medicine | 4276 Silver St, Hinesburg, VT 05461-9492 | 2013-08-27 |
| 1871840843 | Five-town Health Alliance, Inc | Family Medicine | 61 Pine Street, Building 4, Bristol, VT 05443 | 2012-08-09 |
| 1770843575 | Chloe Tartaglia | Family Medicine | 577 Washington Hwy, Morrisville, VT 05661 | 2012-05-25 |
| Find all providers with the same taxonomy | ||||
| City | ENOSBURG FALLS |
| Zip Code | 05450 |
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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.