RED CLOVER FAMILY DENTISTRY
NPI 1013562636
Dentist in Bristol, VT
About Red Clover Family Dentistry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RED CLOVER FAMILY DENTISTRY (NPI 1013562636) is a healthcare organization registered as a dentist in Bristol, Vermont and active in the NPI registry since August 2019. The organization lists Heidi Melbostad, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Red Clover Family Dentistry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Red Clover Family Dentistry, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Five-Town Health Alliance, Inc's NPI number?
The NPI number for Five-Town Health Alliance, Inc is 1013562636. It was assigned to this organization in the NPPES registry on August 9, 2019. The provider is doing business as Red Clover Family Dentistry and Mountain Community Health.
Where is Five-Town Health Alliance, Inc located?
Five-Town Health Alliance, Inc is located at 61 Pine St, Bristol, VT 05443. The listed phone number is (802) 453-3911.
What is Five-Town Health Alliance, Inc's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Five-Town Health Alliance, Inc enrolled in Medicare?
Yes. Five-Town Health Alliance, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Five-Town Health Alliance, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 6 Medicare specialties reassign their Medicare billing to Five-Town Health Alliance, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Family Practice (4) and Clinical Social Worker (2). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Five-Town Health Alliance, Inc accept?
Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Five-Town Health Alliance, Inc 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 Five-Town Health Alliance, Inc was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Red Clover Family Dentistry · NPI 1013562636
Dentist organization in Bristol, Vermont. Organization record, active in the CMS NPPES registry since August 9, 2019.
## Identity
- **NPI:** 1013562636 (Entity type: Organization)
- **Enumerated:** August 9, 2019
- **Primary specialty:** Dentist · taxonomy 122300000X
- **Legal business name:** Five-Town Health Alliance, Inc
- **Also known as:** Mountain Community Health (Doing Business As)
- **Organization subpart:** Yes (part of Five-Town Health Alliance, Inc)
- **Authorized official:** Heidi Melbostad, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 61 PINE ST, Bristol, VT 05443-1043
- **Phone:** (802) 453-3911 · **Fax:** (802) 453-2358
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (4), Clinical Social Worker (2); 6 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1013562636) · Data from the CMS NPPES public registry.