CHCRR PEDIATRICS
NPI 1780969345
Pediatrics in Rutland, VT

Q: What is Community Health Centers Of The Rutland Region, Inc.'s specialty?

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

Active since October 14, 2011CLIA 47D0091805 · Waiver

1 GENERAL WING RD, RUTLAND, VT 05701(802) 773-9131(802) 773-1551 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2017, Nov 10, 2016, Nov 1, 2016 (3 updates tracked since 2016).

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About Chcrr Pediatrics NPPES

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

CHCRR PEDIATRICS (NPI 1780969345) is a healthcare organization registered as a pediatrics in Rutland, Vermont and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Michael Gardner, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1780969345

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCOMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC.

Location Address1 GENERAL WING RDRutland, VT 05701-4681

Mailing Address71 Allen St, Suite 101Rutland, VT 05701-4570 · (800) 468-9118 · Fax (802) 772-7973

Phone(802) 773-9131

Fax(802) 773-1551

Organization SubpartNo

Authorized OfficialMichael GardnerFinance Director · (802) 855-2083

Enumeration DateOctober 14, 2011

Last NPPES UpdateJanuary 18, 20173 updates tracked since enumeration

✔ NPI 1780969345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X

1 GENERAL WING RD, Rutland, VT 05701

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Other Names 1

Doing Business AsChcrr Pediatrics

Other Identifiers 5

Medicaid0471842VT

Medicaid1019786VT

Medicare PIN47-1842VT

Medicaid03891774NY

Medicare PINVN357202VT

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 47D0091805

Chcrr Pediatrics · Rutland, VT

Active · expires Jul 16, 2027

CLIA Number47D0091805

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateJuly 17, 2025

Certificate Expiration DateJuly 16, 2027

Laboratory DirectorStephen Wood

Laboratory Phone(802) 773-9131

Laboratory LocationChcrr Pediatrics1 General Wing Road, Rutland, VT 05701

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 16

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

JUDY A. NELSON M.D.

Pediatrics