VERMONT COUNTRY STORE FAMILY WELLNESS CENTER MANCHESTER
NPI 1053754275
Nurse Practitioner in Manchester Center, VT

Active since April 08, 2013CLIA 47D2055558 · Waiver
5650 MAIN ST, C/O VCS HEALTH CENTER, MANCHESTER CENTER, VT 05255(802) 776-3670(802) 857-0498 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vermont Country Store Family Wellness Center Manchester NPPES

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

VERMONT COUNTRY STORE FAMILY WELLNESS CENTER MANCHESTER (NPI 1053754275) is a healthcare organization registered as a nurse practitioner in Manchester Center, Vermont and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Terry Layman, Corporate Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1053754275
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMH HEALTH CARE SERVICES, PC
Location Address5650 MAIN ST, C/O VCS HEALTH CENTERManchester Center, VT 05255-9711
Mailing Address20 Winooski Falls Way Ste 400Winooski, VT 05404-2239 · (802) 857-0400
Fax(802) 857-0498
Organization SubpartNo
Authorized OfficialTerry LaymanCorporate Medical Officer · (317) 727-8698
Enumeration DateApril 8, 2013
Last NPPES UpdateOctober 20, 2022
NPPES CertifiedOctober 20, 2022
NPI 1053754275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
5650 MAIN ST, Manchester Center, VT 05255

Other Names 1

Other NameVermont Country Store Family Wellness Center Manchester

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 47D2055558

Vermont Country Store Family Wellness Center North Clarendon · North Clarendon, VT
Active · expires Mar 13, 2027
CLIA Number47D2055558
Laboratory TypeOnsite Health Center
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorKathleen Weideman
Laboratory Phone(802) 857-0400
Laboratory LocationVermont Country Store Family Wellness Center North Clarendon401 Innovation Dr, North Clarendon, VT 05759
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mh Health Care Services, PC's NPI number?

The NPI number for Mh Health Care Services, PC is 1053754275. It was assigned to this organization in the NPPES registry on April 8, 2013. The provider is also known as Vermont Country Store Family Wellness Center Manchester.

Where is Mh Health Care Services, PC located?

Mh Health Care Services, PC is located at 5650 Main St C/O Vcs Health Center, Manchester Center, VT 05255. The listed phone number is (802) 776-3670.

What is Mh Health Care Services, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Mh Health Care Services, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D2055558) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mh Health Care Services, PC was last updated on October 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.