Organization

Rutland Mental Health Services, Inc.

Legal Business Name

Rutland Mental Health Services, Inc.

NPI Number

1164417283

NPI Type

Organization

Enumeration Date

09/14/2005

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

Provider Address