SOUTH ROYALTON HEALTH CENTER
NPI 1003834664
Pediatrics in South Royalton, VT

Active since July 18, 2006CLIA 47D0090610 · Waiver
79 SOUTH WINDSOR STREET, SOUTH ROYALTON, VT 05068(802) 763-7575(802) 763-2190 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Royalton Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH ROYALTON HEALTH CENTER (NPI 1003834664) is a healthcare organization registered as a pediatrics in South Royalton, Vermont and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Rebecca Ann Foulk, President Director, as its authorized official.

NPPES Registry Identity

NPI1003834664
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameREBECCA A FOULK MD PC
Location Address79 SOUTH WINDSOR STREETSouth Royalton, VT 05068
Mailing AddressPo Box 119, South Royalton Health CenterSouth Royalton, VT 05068 · (802) 763-7575 · Fax (802) 763-2190
Fax(802) 763-2190
Organization SubpartNo
Authorized OfficialRebecca Ann FoulkPresident Director · (802) 763-7575
Enumeration DateJuly 18, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1003834664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

79 SOUTH WINDSOR STREET, South Royalton, VT 05068

Other Names 1

Doing Business AsSouth Royalton Health Center

Other Identifiers 2

Medicaid30214261NH
Medicaid1011095VT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 47D0090610

South Royalton Health Center · South Royalton, VT
Active · expires Sep 29, 2026
CLIA Number47D0090610
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorAshley A. Miller
Laboratory Phone(802) 763-7575
Laboratory LocationSouth Royalton Health Center79 South Windsor St, South Royalton, VT 05068
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
79 SOUTH WINDSOR STREET
SOUTH ROYALTON, VT 05068

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca A Foulk MD PC's NPI number?

The NPI number for Rebecca A Foulk MD PC is 1003834664. It was assigned to this organization in the NPPES registry on July 18, 2006. The provider is doing business as South Royalton Health Center.

Where is Rebecca A Foulk MD PC located?

Rebecca A Foulk MD PC is located at 79 South Windsor Street, South Royalton, VT 05068. The listed phone number is (802) 763-7575.

What is Rebecca A Foulk MD PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Rebecca A Foulk MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D0090610) is associated with this NPI, valid through September 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rebecca A Foulk MD PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Rebecca A Foulk MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rebecca A Foulk MD PC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.