Rutland Mental Health Services, Inc.
Legal Business Name
Rutland Mental Health Services, Inc.
NPI Number
1164417283
NPI Type
Organization
Enumeration Date
09/14/2005
Specialties
(Taxonomies)Name
Code
261QM0855X
261QM0850X
103K00000X
261Q00000X
251S00000X
261QD1600X
251C00000X
315P00000X
261QR0405X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
78 S MAIN ST
78 S MAIN ST
City
Rutland
Rutland
State
VT
VT
Postal Code
05701-4530
05701-4530
Country
US
US
Telephone Number
(802) 775-8224
(802) 775-2381
Authorized Official
Name
Linda Heald
Title or Position
COORDINATOR AR
Telephone Number
(802) 775-8224
Identifiers
Identifier
00800315
1002799
1007264
00800892
1001099
1007919
5551A
00018644
1009761
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Identifier State
VT
VT
VT
VT
VT
VT
VT
VT
VT
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Identifier Issuer
BCBS QUITTING TIME
Unknown
Unknown
BCBS PARTIAL
Unknown
Unknown
MVP PHD AND MASTERS
BCBS EVERGREEN
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/07/2023