Attestation of Data Integrity: Data for this measure was captured from an Electronic Medical Records (EMR) using a health related social needs screening tool.(Required) Are you reporting on the full population of patients or on the OneCare ACO attributed lives only?(Required) Which describes your practice?(Required) Note - if you select Single-TIN, multi-practice, you will be able to add on additional practices when filling out the form.
Single-TIN, Multi-Practice: Legal Business Name(Required) Please select your legal business name. Brattleboro Memorial Hospital, Inc. - Brattleboro Family Medicine Brattleboro Memorial Hospital, Inc. - Maplewood Family Practice Brattleboro Memorial Hospital, Inc. - Putney Health Center Brattleboro Memorial Hospital, Inc. - Windham Family Practice Central Vermont Medical Center Inc. - CVMC Adult Primary Care-Barre Central Vermont Medical Center Inc. - CVMC Family Medicine-Berlin Central Vermont Medical Center Inc. - CVMC Family Medicine-Mad River Central Vermont Medical Center Inc. - CVMC Family Medicine-Main Campus Central Vermont Medical Center Inc. - CVMC Family Medicine-Waterbury Central Vermont Medical Center Inc. - CVMC Integrative Family Medicine-Montpelier Central Vermont Medical Center Inc. - CVMC Pediatrics Primary Care-Berlin Central Vermont Medical Center Inc. - CVMC Green Mountain Family Practice Community Health Centers of Burlington Inc. - Champlain Islands Health Center Community Health Centers of Burlington Inc. - Community Health Centers of Burlington Community Health Centers of Burlington Inc. - Essex Health Center Community Health Centers of Burlington Inc. - Good Health Internal Medicine Community Health Centers of Burlington Inc. - South End Health Center Community Health Centers of Burlington Inc. - Winooski Family Health Community Health Centers of the Rutland Region, Inc. - Brandon Medical Center Community Health Centers of the Rutland Region, Inc. - Castleton Family Health Center Community Health Centers of the Rutland Region, Inc. - CHCRR Pediatrics Community Health Centers of the Rutland Region, Inc. - Mettowee Valley Family Health Center Community Health Centers of the Rutland Region, Inc. - Rutland Community Health Center Community Health Centers of the Rutland Region, Inc. - Shorewell Community Health Center Dartmouth-Hitchcock Clinic Dartmouth-Hitchcock Heater Road Evergreen Family Health Partners, LLP - Alder Brook Family Health Evergreen Family Health Partners, LLP - Evergreen Family Health Gifford Health Care, Inc. - Gifford Bethel Health Center Gifford Health Care, Inc.- Gifford Chelsea Health Center Gifford Health Care, Inc.- Gifford Health Center at Berlin- Primary Care Gifford Health Care, Inc.- Gifford Pediatrics & Adolescent Medicine Gifford Health Care, Inc.- Gifford Primary Care Gifford Health Care, Inc. - Rochester Health Center Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Cambridge Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Morrisville Lamoille Health Partners, Inc. - Lamoille Health Pediatrics North Country Hospital and Health Center Inc. - North Country Pediatrics and Adolescent Medicine North Country Hospital and Health Center Inc. - North Country Primary Care Barton Orleans North Country Hospital and Health Center Inc. - North Country Primary Care Newport Northeastern Vermont Regional Hospital, Inc. - Kingdom Internal Medicine Northeastern Vermont Regional Hospital, Inc. - NVRH Corner Medical Northeastern Vermont Regional Hospital, Inc.- NVRH St. Johnsbury Pediatrics Northern Counties Health Care, Inc. - Concord Health Center Northern Counties Health Care, Inc. - Danville Health Center Northern Counties Health Care, Inc. - Hardwick Health Center Northern Counties Health Care, Inc. - Island Pond Health Center Northern Counties Health Care, Inc. - St. Johnsbury Community Health Center Porter Hospital, Inc. - PMC Pediatric Primary Care Porter Hospital, Inc. - PMC Primary Care - Brandon Porter Hospital, Inc. - PMC Primary Care - Middlebury Porter Hospital, Inc. - PMC Primary Care – Vergennes Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Peds Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Adult Primary Care Health Partners - Vermont LLP - Cold Hollow Family Practice Primary Care Health Partners - Vermont LLP - Monarch Maples Pediatrics Primary Care Health Partners - Vermont LLP – Mt. Anthony Primary Care Primary Care Health Partners - Vermont LLP - St. Albans Primary Care Primary Care Health Partners - Vermont LLP - Timber Lane Pediatrics Southwestern Vermont Medical Center, Inc. - SVMC Deerfield Valley Campus Southwestern Vermont Medical Center, Inc. - SVMC Medical Associates Southwestern Vermont Medical Center, Inc. - SVMC Northshire Campus Southwestern Vermont Medical Center, Inc. - SVMC Pediatric Services Southwestern Vermont Medical Center, Inc. - SVMC Pownal Campus Springfield Medical Care Systems, Inc. DBA North Star Health - Charlestown Family Medicine Springfield Medical Care Systems, Inc. DBA North Star Health - Ludlow Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - MT Valley Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - Springfield Health Center The Richford Health Center, Inc. - Enosburg Health Center The Richford Health Center, Inc. - Fairfax Health Center The Richford Health Center, Inc. - Georgia Health Center The Richford Health Center, Inc. - Notch Primary Care The Richford Health Center, Inc. - Richford Health Center The Richford Health Center, Inc. - St. Albans Health Center The Richford Health Center, Inc. - Swanton Health Center University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Burlington University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Williston University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Essex Junction University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care South Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Williston University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Colchester University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Hinesburg University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Milton University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine South Burlington Windsor Hospital Corporation - Mt. Ascutney Physician Practices Adult Primary Care Windsor Hospital Corporation - Mt. Ascutney Physician Practices Peds Windsor Hospital Corporation - Ottauquechee Health Center
For practices that have multiple sites associated with their single TIN#, please check the box after the follow-up screening reporting fields to add your next practice.
Screening - Reporting Period: January 1, 2025 to May 31, 2025 Please tell us what tool you used to screen for health related social needs:(Required) Add 2nd Practice
2nd Practice Legal Business Name - 2nd Practice(Required) Please select your legal business name. Brattleboro Memorial Hospital, Inc. - Brattleboro Family Medicine Brattleboro Memorial Hospital, Inc. - Maplewood Family Practice Brattleboro Memorial Hospital, Inc. - Putney Health Center Brattleboro Memorial Hospital, Inc. - Windham Family Practice Central Vermont Medical Center Inc. - CVMC Adult Primary Care-Barre Central Vermont Medical Center Inc. - CVMC Family Medicine-Berlin Central Vermont Medical Center Inc. - CVMC Family Medicine-Mad River Central Vermont Medical Center Inc. - CVMC Family Medicine-Main Campus Central Vermont Medical Center Inc. - CVMC Family Medicine-Waterbury Central Vermont Medical Center Inc. - CVMC Integrative Family Medicine-Montpelier Central Vermont Medical Center Inc. - CVMC Pediatrics Primary Care-Berlin Central Vermont Medical Center Inc. - CVMC Green Mountain Family Practice Community Health Centers of Burlington Inc. - Champlain Islands Health Center Community Health Centers of Burlington Inc. - Community Health Centers of Burlington Community Health Centers of Burlington Inc. - Essex Health Center Community Health Centers of Burlington Inc. - Good Health Internal Medicine Community Health Centers of Burlington Inc. - South End Health Center Community Health Centers of Burlington Inc. - Winooski Family Health Community Health Centers of the Rutland Region, Inc. - Brandon Medical Center Community Health Centers of the Rutland Region, Inc. - Castleton Family Health Center Community Health Centers of the Rutland Region, Inc. - CHCRR Pediatrics Community Health Centers of the Rutland Region, Inc. - Mettowee Valley Family Health Center Community Health Centers of the Rutland Region, Inc. - Rutland Community Health Center Community Health Centers of the Rutland Region, Inc. - Shorewell Community Health Center Dartmouth-Hitchcock Clinic Dartmouth-Hitchcock Heater Road Evergreen Family Health Partners, LLP - Alder Brook Family Health Evergreen Family Health Partners, LLP - Evergreen Family Health Gifford Health Care, Inc. - Gifford Bethel Health Center Gifford Health Care, Inc.- Gifford Chelsea Health Center Gifford Health Care, Inc.- Gifford Health Center at Berlin- Primary Care Gifford Health Care, Inc.- Gifford Pediatrics & Adolescent Medicine Gifford Health Care, Inc.- Gifford Primary Care Gifford Health Care, Inc. - Rochester Health Center Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Cambridge Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Morrisville Lamoille Health Partners, Inc. - Lamoille Health Pediatrics North Country Hospital and Health Center Inc. - North Country Pediatrics and Adolescent Medicine North Country Hospital and Health Center Inc. - North Country Primary Care Barton Orleans North Country Hospital and Health Center Inc. - North Country Primary Care Newport Northeastern Vermont Regional Hospital, Inc. - Kingdom Internal Medicine Northeastern Vermont Regional Hospital, Inc. - NVRH Corner Medical Northeastern Vermont Regional Hospital, Inc.- NVRH St. Johnsbury Pediatrics Northern Counties Health Care, Inc. - Concord Health Center Northern Counties Health Care, Inc. - Danville Health Center Northern Counties Health Care, Inc. - Hardwick Health Center Northern Counties Health Care, Inc. - Island Pond Health Center Northern Counties Health Care, Inc. - St. Johnsbury Community Health Center Porter Hospital, Inc. - PMC Pediatric Primary Care Porter Hospital, Inc. - PMC Primary Care - Brandon Porter Hospital, Inc. - PMC Primary Care - Middlebury Porter Hospital, Inc. - PMC Primary Care – Vergennes Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Peds Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Adult Primary Care Health Partners - Vermont LLP - Cold Hollow Family Practice Primary Care Health Partners - Vermont LLP - Monarch Maples Pediatrics Primary Care Health Partners - Vermont LLP – Mt. Anthony Primary Care Primary Care Health Partners - Vermont LLP - St. Albans Primary Care Primary Care Health Partners - Vermont LLP - Timber Lane Pediatrics Southwestern Vermont Medical Center, Inc. - SVMC Deerfield Valley Campus Southwestern Vermont Medical Center, Inc. - SVMC Medical Associates Southwestern Vermont Medical Center, Inc. - SVMC Northshire Campus Southwestern Vermont Medical Center, Inc. - SVMC Pediatric Services Southwestern Vermont Medical Center, Inc. - SVMC Pownal Campus Springfield Medical Care Systems, Inc. DBA North Star Health - Charlestown Family Medicine Springfield Medical Care Systems, Inc. DBA North Star Health - Ludlow Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - MT Valley Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - Springfield Health Center The Richford Health Center, Inc. - Enosburg Health Center The Richford Health Center, Inc. - Fairfax Health Center The Richford Health Center, Inc. - Georgia Health Center The Richford Health Center, Inc. - Notch Primary Care The Richford Health Center, Inc. - Richford Health Center The Richford Health Center, Inc. - St. Albans Health Center The Richford Health Center, Inc. - Swanton Health Center University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Burlington University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Williston University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Essex Junction University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care South Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Williston University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Colchester University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Hinesburg University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Milton University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine South Burlington Windsor Hospital Corporation - Mt. Ascutney Physician Practices Adult Primary Care Windsor Hospital Corporation - Mt. Ascutney Physician Practices Peds Windsor Hospital Corporation - Ottauquechee Health Center
Please find the second site associated with your single TIN# listed in this dropdown.
2nd Practice Screening - Reporting Period: January 1, 2025 to May 31, 2025 Please tell us what tool you used to screen for health related social needs:(Required) Add 3rd Practice
3rd Practice Legal Business Name - 3rd Practice(Required) Please select your legal business name. Brattleboro Memorial Hospital, Inc. - Brattleboro Family Medicine Brattleboro Memorial Hospital, Inc. - Maplewood Family Practice Brattleboro Memorial Hospital, Inc. - Putney Health Center Brattleboro Memorial Hospital, Inc. - Windham Family Practice Central Vermont Medical Center Inc. - CVMC Adult Primary Care-Barre Central Vermont Medical Center Inc. - CVMC Family Medicine-Berlin Central Vermont Medical Center Inc. - CVMC Family Medicine-Mad River Central Vermont Medical Center Inc. - CVMC Family Medicine-Main Campus Central Vermont Medical Center Inc. - CVMC Family Medicine-Waterbury Central Vermont Medical Center Inc. - CVMC Integrative Family Medicine-Montpelier Central Vermont Medical Center Inc. - CVMC Pediatrics Primary Care-Berlin Central Vermont Medical Center Inc. - CVMC Green Mountain Family Practice Community Health Centers of Burlington Inc. - Champlain Islands Health Center Community Health Centers of Burlington Inc. - Community Health Centers of Burlington Community Health Centers of Burlington Inc. - Essex Health Center Community Health Centers of Burlington Inc. - Good Health Internal Medicine Community Health Centers of Burlington Inc. - South End Health Center Community Health Centers of Burlington Inc. - Winooski Family Health Community Health Centers of the Rutland Region, Inc. - Brandon Medical Center Community Health Centers of the Rutland Region, Inc. - Castleton Family Health Center Community Health Centers of the Rutland Region, Inc. - CHCRR Pediatrics Community Health Centers of the Rutland Region, Inc. - Mettowee Valley Family Health Center Community Health Centers of the Rutland Region, Inc. - Rutland Community Health Center Community Health Centers of the Rutland Region, Inc. - Shorewell Community Health Center Dartmouth-Hitchcock Clinic Dartmouth-Hitchcock Heater Road Evergreen Family Health Partners, LLP - Alder Brook Family Health Evergreen Family Health Partners, LLP - Evergreen Family Health Gifford Health Care, Inc. - Gifford Bethel Health Center Gifford Health Care, Inc.- Gifford Chelsea Health Center Gifford Health Care, Inc.- Gifford Health Center at Berlin- Primary Care Gifford Health Care, Inc.- Gifford Pediatrics & Adolescent Medicine Gifford Health Care, Inc.- Gifford Primary Care Gifford Health Care, Inc. - Rochester Health Center Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Cambridge Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Morrisville Lamoille Health Partners, Inc. - Lamoille Health Pediatrics North Country Hospital and Health Center Inc. - North Country Pediatrics and Adolescent Medicine North Country Hospital and Health Center Inc. - North Country Primary Care Barton Orleans North Country Hospital and Health Center Inc. - North Country Primary Care Newport Northeastern Vermont Regional Hospital, Inc. - Kingdom Internal Medicine Northeastern Vermont Regional Hospital, Inc. - NVRH Corner Medical Northeastern Vermont Regional Hospital, Inc.- NVRH St. Johnsbury Pediatrics Northern Counties Health Care, Inc. - Concord Health Center Northern Counties Health Care, Inc. - Danville Health Center Northern Counties Health Care, Inc. - Hardwick Health Center Northern Counties Health Care, Inc. - Island Pond Health Center Northern Counties Health Care, Inc. - St. Johnsbury Community Health Center Porter Hospital, Inc. - PMC Pediatric Primary Care Porter Hospital, Inc. - PMC Primary Care - Brandon Porter Hospital, Inc. - PMC Primary Care - Middlebury Porter Hospital, Inc. - PMC Primary Care – Vergennes Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Peds Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Adult Primary Care Health Partners - Vermont LLP - Cold Hollow Family Practice Primary Care Health Partners - Vermont LLP - Monarch Maples Pediatrics Primary Care Health Partners - Vermont LLP – Mt. Anthony Primary Care Primary Care Health Partners - Vermont LLP - St. Albans Primary Care Primary Care Health Partners - Vermont LLP - Timber Lane Pediatrics Southwestern Vermont Medical Center, Inc. - SVMC Deerfield Valley Campus Southwestern Vermont Medical Center, Inc. - SVMC Medical Associates Southwestern Vermont Medical Center, Inc. - SVMC Northshire Campus Southwestern Vermont Medical Center, Inc. - SVMC Pediatric Services Southwestern Vermont Medical Center, Inc. - SVMC Pownal Campus Springfield Medical Care Systems, Inc. DBA North Star Health - Charlestown Family Medicine Springfield Medical Care Systems, Inc. DBA North Star Health - Ludlow Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - MT Valley Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - Springfield Health Center The Richford Health Center, Inc. - Enosburg Health Center The Richford Health Center, Inc. - Fairfax Health Center The Richford Health Center, Inc. - Georgia Health Center The Richford Health Center, Inc. - Notch Primary Care The Richford Health Center, Inc. - Richford Health Center The Richford Health Center, Inc. - St. Albans Health Center The Richford Health Center, Inc. - Swanton Health Center University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Burlington University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Williston University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Essex Junction University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care South Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Williston University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Colchester University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Hinesburg University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Milton University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine South Burlington Windsor Hospital Corporation - Mt. Ascutney Physician Practices Adult Primary Care Windsor Hospital Corporation - Mt. Ascutney Physician Practices Peds Windsor Hospital Corporation - Ottauquechee Health Center
Please find the third site associated with your single TIN# listed in this dropdown.
3rd Practice Screening - Reporting Period: January 1, 2025 to May 31, 2025 Please tell us what tool you used to screen for health related social needs:(Required) Add 4th Practice
4th Practice Legal Business Name - 4th Practice(Required) Please select your legal business name. Brattleboro Memorial Hospital, Inc. - Brattleboro Family Medicine Brattleboro Memorial Hospital, Inc. - Maplewood Family Practice Brattleboro Memorial Hospital, Inc. - Putney Health Center Brattleboro Memorial Hospital, Inc. - Windham Family Practice Central Vermont Medical Center Inc. - CVMC Adult Primary Care-Barre Central Vermont Medical Center Inc. - CVMC Family Medicine-Berlin Central Vermont Medical Center Inc. - CVMC Family Medicine-Mad River Central Vermont Medical Center Inc. - CVMC Family Medicine-Main Campus Central Vermont Medical Center Inc. - CVMC Family Medicine-Waterbury Central Vermont Medical Center Inc. - CVMC Integrative Family Medicine-Montpelier Central Vermont Medical Center Inc. - CVMC Pediatrics Primary Care-Berlin Central Vermont Medical Center Inc. - CVMC Green Mountain Family Practice Community Health Centers of Burlington Inc. - Champlain Islands Health Center Community Health Centers of Burlington Inc. - Community Health Centers of Burlington Community Health Centers of Burlington Inc. - Essex Health Center Community Health Centers of Burlington Inc. - Good Health Internal Medicine Community Health Centers of Burlington Inc. - South End Health Center Community Health Centers of Burlington Inc. - Winooski Family Health Community Health Centers of the Rutland Region, Inc. - Brandon Medical Center Community Health Centers of the Rutland Region, Inc. - Castleton Family Health Center Community Health Centers of the Rutland Region, Inc. - CHCRR Pediatrics Community Health Centers of the Rutland Region, Inc. - Mettowee Valley Family Health Center Community Health Centers of the Rutland Region, Inc. - Rutland Community Health Center Community Health Centers of the Rutland Region, Inc. - Shorewell Community Health Center Dartmouth-Hitchcock Clinic Dartmouth-Hitchcock Heater Road Evergreen Family Health Partners, LLP - Alder Brook Family Health Evergreen Family Health Partners, LLP - Evergreen Family Health Gifford Health Care, Inc. - Gifford Bethel Health Center Gifford Health Care, Inc.- Gifford Chelsea Health Center Gifford Health Care, Inc.- Gifford Health Center at Berlin- Primary Care Gifford Health Care, Inc.- Gifford Pediatrics & Adolescent Medicine Gifford Health Care, Inc.- Gifford Primary Care Gifford Health Care, Inc. - Rochester Health Center Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Cambridge Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Morrisville Lamoille Health Partners, Inc. - Lamoille Health Pediatrics North Country Hospital and Health Center Inc. - North Country Pediatrics and Adolescent Medicine North Country Hospital and Health Center Inc. - North Country Primary Care Barton Orleans North Country Hospital and Health Center Inc. - North Country Primary Care Newport Northeastern Vermont Regional Hospital, Inc. - Kingdom Internal Medicine Northeastern Vermont Regional Hospital, Inc. - NVRH Corner Medical Northeastern Vermont Regional Hospital, Inc.- NVRH St. Johnsbury Pediatrics Northern Counties Health Care, Inc. - Concord Health Center Northern Counties Health Care, Inc. - Danville Health Center Northern Counties Health Care, Inc. - Hardwick Health Center Northern Counties Health Care, Inc. - Island Pond Health Center Northern Counties Health Care, Inc. - St. Johnsbury Community Health Center Porter Hospital, Inc. - PMC Pediatric Primary Care Porter Hospital, Inc. - PMC Primary Care - Brandon Porter Hospital, Inc. - PMC Primary Care - Middlebury Porter Hospital, Inc. - PMC Primary Care – Vergennes Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Peds Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Adult Primary Care Health Partners - Vermont LLP - Cold Hollow Family Practice Primary Care Health Partners - Vermont LLP - Monarch Maples Pediatrics Primary Care Health Partners - Vermont LLP – Mt. Anthony Primary Care Primary Care Health Partners - Vermont LLP - St. Albans Primary Care Primary Care Health Partners - Vermont LLP - Timber Lane Pediatrics Southwestern Vermont Medical Center, Inc. - SVMC Deerfield Valley Campus Southwestern Vermont Medical Center, Inc. - SVMC Medical Associates Southwestern Vermont Medical Center, Inc. - SVMC Northshire Campus Southwestern Vermont Medical Center, Inc. - SVMC Pediatric Services Southwestern Vermont Medical Center, Inc. - SVMC Pownal Campus Springfield Medical Care Systems, Inc. DBA North Star Health - Charlestown Family Medicine Springfield Medical Care Systems, Inc. DBA North Star Health - Ludlow Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - MT Valley Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - Springfield Health Center The Richford Health Center, Inc. - Enosburg Health Center The Richford Health Center, Inc. - Fairfax Health Center The Richford Health Center, Inc. - Georgia Health Center The Richford Health Center, Inc. - Notch Primary Care The Richford Health Center, Inc. - Richford Health Center The Richford Health Center, Inc. - St. Albans Health Center The Richford Health Center, Inc. - Swanton Health Center University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Burlington University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Williston University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Essex Junction University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care South Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Williston University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Colchester University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Hinesburg University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Milton University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine South Burlington Windsor Hospital Corporation - Mt. Ascutney Physician Practices Adult Primary Care Windsor Hospital Corporation - Mt. Ascutney Physician Practices Peds Windsor Hospital Corporation - Ottauquechee Health Center
Please find the fourth site associated with your single TIN# listed in this dropdown.
4th Practice Screening - Reporting Period: January 1, 2025 to May 31, 2025 Please tell us what tool you used to screen for health related social needs:(Required) Add 5th Practice
5th Practice Legal Business Name - 5th Practice(Required) Please select your legal business name. Brattleboro Memorial Hospital, Inc. - Brattleboro Family Medicine Brattleboro Memorial Hospital, Inc. - Maplewood Family Practice Brattleboro Memorial Hospital, Inc. - Putney Health Center Brattleboro Memorial Hospital, Inc. - Windham Family Practice Central Vermont Medical Center Inc. - CVMC Adult Primary Care-Barre Central Vermont Medical Center Inc. - CVMC Family Medicine-Berlin Central Vermont Medical Center Inc. - CVMC Family Medicine-Mad River Central Vermont Medical Center Inc. - CVMC Family Medicine-Main Campus Central Vermont Medical Center Inc. - CVMC Family Medicine-Waterbury Central Vermont Medical Center Inc. - CVMC Integrative Family Medicine-Montpelier Central Vermont Medical Center Inc. - CVMC Pediatrics Primary Care-Berlin Central Vermont Medical Center Inc. - CVMC Green Mountain Family Practice Community Health Centers of Burlington Inc. - Champlain Islands Health Center Community Health Centers of Burlington Inc. - Community Health Centers of Burlington Community Health Centers of Burlington Inc. - Essex Health Center Community Health Centers of Burlington Inc. - Good Health Internal Medicine Community Health Centers of Burlington Inc. - South End Health Center Community Health Centers of Burlington Inc. - Winooski Family Health Community Health Centers of the Rutland Region, Inc. - Brandon Medical Center Community Health Centers of the Rutland Region, Inc. - Castleton Family Health Center Community Health Centers of the Rutland Region, Inc. - CHCRR Pediatrics Community Health Centers of the Rutland Region, Inc. - Mettowee Valley Family Health Center Community Health Centers of the Rutland Region, Inc. - Rutland Community Health Center Community Health Centers of the Rutland Region, Inc. - Shorewell Community Health Center Dartmouth-Hitchcock Clinic Dartmouth-Hitchcock Heater Road Evergreen Family Health Partners, LLP - Alder Brook Family Health Evergreen Family Health Partners, LLP - Evergreen Family Health Gifford Health Care, Inc. - Gifford Bethel Health Center Gifford Health Care, Inc.- Gifford Chelsea Health Center Gifford Health Care, Inc.- Gifford Health Center at Berlin- Primary Care Gifford Health Care, Inc.- Gifford Pediatrics & Adolescent Medicine Gifford Health Care, Inc.- Gifford Primary Care Gifford Health Care, Inc. - Rochester Health Center Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Cambridge Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Morrisville Lamoille Health Partners, Inc. - Lamoille Health Pediatrics North Country Hospital and Health Center Inc. - North Country Pediatrics and Adolescent Medicine North Country Hospital and Health Center Inc. - North Country Primary Care Barton Orleans North Country Hospital and Health Center Inc. - North Country Primary Care Newport Northeastern Vermont Regional Hospital, Inc. - Kingdom Internal Medicine Northeastern Vermont Regional Hospital, Inc. - NVRH Corner Medical Northeastern Vermont Regional Hospital, Inc.- NVRH St. Johnsbury Pediatrics Northern Counties Health Care, Inc. - Concord Health Center Northern Counties Health Care, Inc. - Danville Health Center Northern Counties Health Care, Inc. - Hardwick Health Center Northern Counties Health Care, Inc. - Island Pond Health Center Northern Counties Health Care, Inc. - St. Johnsbury Community Health Center Porter Hospital, Inc. - PMC Pediatric Primary Care Porter Hospital, Inc. - PMC Primary Care - Brandon Porter Hospital, Inc. - PMC Primary Care - Middlebury Porter Hospital, Inc. - PMC Primary Care – Vergennes Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Peds Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Adult Primary Care Health Partners - Vermont LLP - Cold Hollow Family Practice Primary Care Health Partners - Vermont LLP - Monarch Maples Pediatrics Primary Care Health Partners - Vermont LLP – Mt. Anthony Primary Care Primary Care Health Partners - Vermont LLP - St. Albans Primary Care Primary Care Health Partners - Vermont LLP - Timber Lane Pediatrics Southwestern Vermont Medical Center, Inc. - SVMC Deerfield Valley Campus Southwestern Vermont Medical Center, Inc. - SVMC Medical Associates Southwestern Vermont Medical Center, Inc. - SVMC Northshire Campus Southwestern Vermont Medical Center, Inc. - SVMC Pediatric Services Southwestern Vermont Medical Center, Inc. - SVMC Pownal Campus Springfield Medical Care Systems, Inc. DBA North Star Health - Charlestown Family Medicine Springfield Medical Care Systems, Inc. DBA North Star Health - Ludlow Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - MT Valley Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - Springfield Health Center The Richford Health Center, Inc. - Enosburg Health Center The Richford Health Center, Inc. - Fairfax Health Center The Richford Health Center, Inc. - Georgia Health Center The Richford Health Center, Inc. - Notch Primary Care The Richford Health Center, Inc. - Richford Health Center The Richford Health Center, Inc. - St. Albans Health Center The Richford Health Center, Inc. - Swanton Health Center University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Burlington University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Williston University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Essex Junction University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care South Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Williston University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Colchester University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Hinesburg University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Milton University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine South Burlington Windsor Hospital Corporation - Mt. Ascutney Physician Practices Adult Primary Care Windsor Hospital Corporation - Mt. Ascutney Physician Practices Peds Windsor Hospital Corporation - Ottauquechee Health Center
Please find the fifth site associated with your single TIN# listed in this dropdown.
5th Practice Screening - Reporting Period: January 1, 2025 to May 31, 2025 Please tell us what tool you used to screen for health related social needs:(Required) Add 6th Practice
6th Practice Legal Business Name - 6th Practice(Required) Please select your legal business name. Brattleboro Memorial Hospital, Inc. - Brattleboro Family Medicine Brattleboro Memorial Hospital, Inc. - Maplewood Family Practice Brattleboro Memorial Hospital, Inc. - Putney Health Center Brattleboro Memorial Hospital, Inc. - Windham Family Practice Central Vermont Medical Center Inc. - CVMC Adult Primary Care-Barre Central Vermont Medical Center Inc. - CVMC Family Medicine-Berlin Central Vermont Medical Center Inc. - CVMC Family Medicine-Mad River Central Vermont Medical Center Inc. - CVMC Family Medicine-Main Campus Central Vermont Medical Center Inc. - CVMC Family Medicine-Waterbury Central Vermont Medical Center Inc. - CVMC Integrative Family Medicine-Montpelier Central Vermont Medical Center Inc. - CVMC Pediatrics Primary Care-Berlin Central Vermont Medical Center Inc. - CVMC Green Mountain Family Practice Community Health Centers of Burlington Inc. - Champlain Islands Health Center Community Health Centers of Burlington Inc. - Community Health Centers of Burlington Community Health Centers of Burlington Inc. - Essex Health Center Community Health Centers of Burlington Inc. - Good Health Internal Medicine Community Health Centers of Burlington Inc. - South End Health Center Community Health Centers of Burlington Inc. - Winooski Family Health Community Health Centers of the Rutland Region, Inc. - Brandon Medical Center Community Health Centers of the Rutland Region, Inc. - Castleton Family Health Center Community Health Centers of the Rutland Region, Inc. - CHCRR Pediatrics Community Health Centers of the Rutland Region, Inc. - Mettowee Valley Family Health Center Community Health Centers of the Rutland Region, Inc. - Rutland Community Health Center Community Health Centers of the Rutland Region, Inc. - Shorewell Community Health Center Dartmouth-Hitchcock Clinic Dartmouth-Hitchcock Heater Road Evergreen Family Health Partners, LLP - Alder Brook Family Health Evergreen Family Health Partners, LLP - Evergreen Family Health Gifford Health Care, Inc. - Gifford Bethel Health Center Gifford Health Care, Inc.- Gifford Chelsea Health Center Gifford Health Care, Inc.- Gifford Health Center at Berlin- Primary Care Gifford Health Care, Inc.- Gifford Pediatrics & Adolescent Medicine Gifford Health Care, Inc.- Gifford Primary Care Gifford Health Care, Inc. - Rochester Health Center Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Cambridge Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Morrisville Lamoille Health Partners, Inc. - Lamoille Health Pediatrics North Country Hospital and Health Center Inc. - North Country Pediatrics and Adolescent Medicine North Country Hospital and Health Center Inc. - North Country Primary Care Barton Orleans North Country Hospital and Health Center Inc. - North Country Primary Care Newport Northeastern Vermont Regional Hospital, Inc. - Kingdom Internal Medicine Northeastern Vermont Regional Hospital, Inc. - NVRH Corner Medical Northeastern Vermont Regional Hospital, Inc.- NVRH St. Johnsbury Pediatrics Northern Counties Health Care, Inc. - Concord Health Center Northern Counties Health Care, Inc. - Danville Health Center Northern Counties Health Care, Inc. - Hardwick Health Center Northern Counties Health Care, Inc. - Island Pond Health Center Northern Counties Health Care, Inc. - St. Johnsbury Community Health Center Porter Hospital, Inc. - PMC Pediatric Primary Care Porter Hospital, Inc. - PMC Primary Care - Brandon Porter Hospital, Inc. - PMC Primary Care - Middlebury Porter Hospital, Inc. - PMC Primary Care – Vergennes Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Peds Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Adult Primary Care Health Partners - Vermont LLP - Cold Hollow Family Practice Primary Care Health Partners - Vermont LLP - Monarch Maples Pediatrics Primary Care Health Partners - Vermont LLP – Mt. Anthony Primary Care Primary Care Health Partners - Vermont LLP - St. Albans Primary Care Primary Care Health Partners - Vermont LLP - Timber Lane Pediatrics Southwestern Vermont Medical Center, Inc. - SVMC Deerfield Valley Campus Southwestern Vermont Medical Center, Inc. - SVMC Medical Associates Southwestern Vermont Medical Center, Inc. - SVMC Northshire Campus Southwestern Vermont Medical Center, Inc. - SVMC Pediatric Services Southwestern Vermont Medical Center, Inc. - SVMC Pownal Campus Springfield Medical Care Systems, Inc. DBA North Star Health - Charlestown Family Medicine Springfield Medical Care Systems, Inc. DBA North Star Health - Ludlow Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - MT Valley Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - Springfield Health Center The Richford Health Center, Inc. - Enosburg Health Center The Richford Health Center, Inc. - Fairfax Health Center The Richford Health Center, Inc. - Georgia Health Center The Richford Health Center, Inc. - Notch Primary Care The Richford Health Center, Inc. - Richford Health Center The Richford Health Center, Inc. - St. Albans Health Center The Richford Health Center, Inc. - Swanton Health Center University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Burlington University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Williston University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Essex Junction University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care South Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Williston University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Colchester University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Hinesburg University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Milton University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine South Burlington Windsor Hospital Corporation - Mt. Ascutney Physician Practices Adult Primary Care Windsor Hospital Corporation - Mt. Ascutney Physician Practices Peds Windsor Hospital Corporation - Ottauquechee Health Center
Please find the sixth site associated with your single TIN# listed in this dropdown.
6th Practice Screening - Reporting Period: January 1, 2025 to May 31, 2025 Please tell us what tool you used to screen for health related social needs:(Required) Add 7th Practice
7th Practice Legal Business Name - 7th Practice(Required) Please select your legal business name. Brattleboro Memorial Hospital, Inc. - Brattleboro Family Medicine Brattleboro Memorial Hospital, Inc. - Maplewood Family Practice Brattleboro Memorial Hospital, Inc. - Putney Health Center Brattleboro Memorial Hospital, Inc. - Windham Family Practice Central Vermont Medical Center Inc. - CVMC Adult Primary Care-Barre Central Vermont Medical Center Inc. - CVMC Family Medicine-Berlin Central Vermont Medical Center Inc. - CVMC Family Medicine-Mad River Central Vermont Medical Center Inc. - CVMC Family Medicine-Main Campus Central Vermont Medical Center Inc. - CVMC Family Medicine-Waterbury Central Vermont Medical Center Inc. - CVMC Integrative Family Medicine-Montpelier Central Vermont Medical Center Inc. - CVMC Pediatrics Primary Care-Berlin Central Vermont Medical Center Inc. - CVMC Green Mountain Family Practice Community Health Centers of Burlington Inc. - Champlain Islands Health Center Community Health Centers of Burlington Inc. - Community Health Centers of Burlington Community Health Centers of Burlington Inc. - Essex Health Center Community Health Centers of Burlington Inc. - Good Health Internal Medicine Community Health Centers of Burlington Inc. - South End Health Center Community Health Centers of Burlington Inc. - Winooski Family Health Community Health Centers of the Rutland Region, Inc. - Brandon Medical Center Community Health Centers of the Rutland Region, Inc. - Castleton Family Health Center Community Health Centers of the Rutland Region, Inc. - CHCRR Pediatrics Community Health Centers of the Rutland Region, Inc. - Mettowee Valley Family Health Center Community Health Centers of the Rutland Region, Inc. - Rutland Community Health Center Community Health Centers of the Rutland Region, Inc. - Shorewell Community Health Center Dartmouth-Hitchcock Clinic Dartmouth-Hitchcock Heater Road Evergreen Family Health Partners, LLP - Alder Brook Family Health Evergreen Family Health Partners, LLP - Evergreen Family Health Gifford Health Care, Inc. - Gifford Bethel Health Center Gifford Health Care, Inc.- Gifford Chelsea Health Center Gifford Health Care, Inc.- Gifford Health Center at Berlin- Primary Care Gifford Health Care, Inc.- Gifford Pediatrics & Adolescent Medicine Gifford Health Care, Inc.- Gifford Primary Care Gifford Health Care, Inc. - Rochester Health Center Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Cambridge Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Morrisville Lamoille Health Partners, Inc. - Lamoille Health Pediatrics North Country Hospital and Health Center Inc. - North Country Pediatrics and Adolescent Medicine North Country Hospital and Health Center Inc. - North Country Primary Care Barton Orleans North Country Hospital and Health Center Inc. - North Country Primary Care Newport Northeastern Vermont Regional Hospital, Inc. - Kingdom Internal Medicine Northeastern Vermont Regional Hospital, Inc. - NVRH Corner Medical Northeastern Vermont Regional Hospital, Inc.- NVRH St. Johnsbury Pediatrics Northern Counties Health Care, Inc. - Concord Health Center Northern Counties Health Care, Inc. - Danville Health Center Northern Counties Health Care, Inc. - Hardwick Health Center Northern Counties Health Care, Inc. - Island Pond Health Center Northern Counties Health Care, Inc. - St. Johnsbury Community Health Center Porter Hospital, Inc. - PMC Pediatric Primary Care Porter Hospital, Inc. - PMC Primary Care - Brandon Porter Hospital, Inc. - PMC Primary Care - Middlebury Porter Hospital, Inc. - PMC Primary Care – Vergennes Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Peds Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Adult Primary Care Health Partners - Vermont LLP - Cold Hollow Family Practice Primary Care Health Partners - Vermont LLP - Monarch Maples Pediatrics Primary Care Health Partners - Vermont LLP – Mt. Anthony Primary Care Primary Care Health Partners - Vermont LLP - St. Albans Primary Care Primary Care Health Partners - Vermont LLP - Timber Lane Pediatrics Southwestern Vermont Medical Center, Inc. - SVMC Deerfield Valley Campus Southwestern Vermont Medical Center, Inc. - SVMC Medical Associates Southwestern Vermont Medical Center, Inc. - SVMC Northshire Campus Southwestern Vermont Medical Center, Inc. - SVMC Pediatric Services Southwestern Vermont Medical Center, Inc. - SVMC Pownal Campus Springfield Medical Care Systems, Inc. DBA North Star Health - Charlestown Family Medicine Springfield Medical Care Systems, Inc. DBA North Star Health - Ludlow Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - MT Valley Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - Springfield Health Center The Richford Health Center, Inc. - Enosburg Health Center The Richford Health Center, Inc. - Fairfax Health Center The Richford Health Center, Inc. - Georgia Health Center The Richford Health Center, Inc. - Notch Primary Care The Richford Health Center, Inc. - Richford Health Center The Richford Health Center, Inc. - St. Albans Health Center The Richford Health Center, Inc. - Swanton Health Center University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Burlington University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Williston University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Essex Junction University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care South Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Williston University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Colchester University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Hinesburg University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Milton University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine South Burlington Windsor Hospital Corporation - Mt. Ascutney Physician Practices Adult Primary Care Windsor Hospital Corporation - Mt. Ascutney Physician Practices Peds Windsor Hospital Corporation - Ottauquechee Health Center
Please find the seventh site associated with your single TIN# listed in this dropdown.
7th Practice Screening - Reporting Period: January 1, 2025 to May 31, 2025 Please tell us what tool you used to screen for health related social needs:(Required) Add 8th Practice
8th Practice Legal Business Name - 8th Practice(Required) Please select your legal business name. Brattleboro Memorial Hospital, Inc. - Brattleboro Family Medicine Brattleboro Memorial Hospital, Inc. - Maplewood Family Practice Brattleboro Memorial Hospital, Inc. - Putney Health Center Brattleboro Memorial Hospital, Inc. - Windham Family Practice Central Vermont Medical Center Inc. - CVMC Adult Primary Care-Barre Central Vermont Medical Center Inc. - CVMC Family Medicine-Berlin Central Vermont Medical Center Inc. - CVMC Family Medicine-Mad River Central Vermont Medical Center Inc. - CVMC Family Medicine-Main Campus Central Vermont Medical Center Inc. - CVMC Family Medicine-Waterbury Central Vermont Medical Center Inc. - CVMC Integrative Family Medicine-Montpelier Central Vermont Medical Center Inc. - CVMC Pediatrics Primary Care-Berlin Central Vermont Medical Center Inc. - CVMC Green Mountain Family Practice Community Health Centers of Burlington Inc. - Champlain Islands Health Center Community Health Centers of Burlington Inc. - Community Health Centers of Burlington Community Health Centers of Burlington Inc. - Essex Health Center Community Health Centers of Burlington Inc. - Good Health Internal Medicine Community Health Centers of Burlington Inc. - South End Health Center Community Health Centers of Burlington Inc. - Winooski Family Health Community Health Centers of the Rutland Region, Inc. - Brandon Medical Center Community Health Centers of the Rutland Region, Inc. - Castleton Family Health Center Community Health Centers of the Rutland Region, Inc. - CHCRR Pediatrics Community Health Centers of the Rutland Region, Inc. - Mettowee Valley Family Health Center Community Health Centers of the Rutland Region, Inc. - Rutland Community Health Center Community Health Centers of the Rutland Region, Inc. - Shorewell Community Health Center Dartmouth-Hitchcock Clinic Dartmouth-Hitchcock Heater Road Evergreen Family Health Partners, LLP - Alder Brook Family Health Evergreen Family Health Partners, LLP - Evergreen Family Health Gifford Health Care, Inc. - Gifford Bethel Health Center Gifford Health Care, Inc.- Gifford Chelsea Health Center Gifford Health Care, Inc.- Gifford Health Center at Berlin- Primary Care Gifford Health Care, Inc.- Gifford Pediatrics & Adolescent Medicine Gifford Health Care, Inc.- Gifford Primary Care Gifford Health Care, Inc. - Rochester Health Center Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Cambridge Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Morrisville Lamoille Health Partners, Inc. - Lamoille Health Pediatrics North Country Hospital and Health Center Inc. - North Country Pediatrics and Adolescent Medicine North Country Hospital and Health Center Inc. - North Country Primary Care Barton Orleans North Country Hospital and Health Center Inc. - North Country Primary Care Newport Northeastern Vermont Regional Hospital, Inc. - Kingdom Internal Medicine Northeastern Vermont Regional Hospital, Inc. - NVRH Corner Medical Northeastern Vermont Regional Hospital, Inc.- NVRH St. Johnsbury Pediatrics Northern Counties Health Care, Inc. - Concord Health Center Northern Counties Health Care, Inc. - Danville Health Center Northern Counties Health Care, Inc. - Hardwick Health Center Northern Counties Health Care, Inc. - Island Pond Health Center Northern Counties Health Care, Inc. - St. Johnsbury Community Health Center Porter Hospital, Inc. - PMC Pediatric Primary Care Porter Hospital, Inc. - PMC Primary Care - Brandon Porter Hospital, Inc. - PMC Primary Care - Middlebury Porter Hospital, Inc. - PMC Primary Care – Vergennes Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Peds Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Adult Primary Care Health Partners - Vermont LLP - Cold Hollow Family Practice Primary Care Health Partners - Vermont LLP - Monarch Maples Pediatrics Primary Care Health Partners - Vermont LLP – Mt. Anthony Primary Care Primary Care Health Partners - Vermont LLP - St. Albans Primary Care Primary Care Health Partners - Vermont LLP - Timber Lane Pediatrics Southwestern Vermont Medical Center, Inc. - SVMC Deerfield Valley Campus Southwestern Vermont Medical Center, Inc. - SVMC Medical Associates Southwestern Vermont Medical Center, Inc. - SVMC Northshire Campus Southwestern Vermont Medical Center, Inc. - SVMC Pediatric Services Southwestern Vermont Medical Center, Inc. - SVMC Pownal Campus Springfield Medical Care Systems, Inc. DBA North Star Health - Charlestown Family Medicine Springfield Medical Care Systems, Inc. DBA North Star Health - Ludlow Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - MT Valley Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - Springfield Health Center The Richford Health Center, Inc. - Enosburg Health Center The Richford Health Center, Inc. - Fairfax Health Center The Richford Health Center, Inc. - Georgia Health Center The Richford Health Center, Inc. - Notch Primary Care The Richford Health Center, Inc. - Richford Health Center The Richford Health Center, Inc. - St. Albans Health Center The Richford Health Center, Inc. - Swanton Health Center University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Burlington University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Williston University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Essex Junction University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care South Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Williston University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Colchester University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Hinesburg University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Milton University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine South Burlington Windsor Hospital Corporation - Mt. Ascutney Physician Practices Adult Primary Care Windsor Hospital Corporation - Mt. Ascutney Physician Practices Peds Windsor Hospital Corporation - Ottauquechee Health Center
Please find the eighth site associated with your single TIN# listed in this dropdown.
8th Practice Screening - Reporting Period: January 1, 2025 to May 31, 2025 Please tell us what tool you used to screen for health related social needs:(Required) Add 9th Practice
9th Practice Legal Business Name - 9th Practice(Required) Please select your legal business name. Brattleboro Memorial Hospital, Inc. - Brattleboro Family Medicine Brattleboro Memorial Hospital, Inc. - Maplewood Family Practice Brattleboro Memorial Hospital, Inc. - Putney Health Center Brattleboro Memorial Hospital, Inc. - Windham Family Practice Central Vermont Medical Center Inc. - CVMC Adult Primary Care-Barre Central Vermont Medical Center Inc. - CVMC Family Medicine-Berlin Central Vermont Medical Center Inc. - CVMC Family Medicine-Mad River Central Vermont Medical Center Inc. - CVMC Family Medicine-Main Campus Central Vermont Medical Center Inc. - CVMC Family Medicine-Waterbury Central Vermont Medical Center Inc. - CVMC Integrative Family Medicine-Montpelier Central Vermont Medical Center Inc. - CVMC Pediatrics Primary Care-Berlin Central Vermont Medical Center Inc. - CVMC Green Mountain Family Practice Community Health Centers of Burlington Inc. - Champlain Islands Health Center Community Health Centers of Burlington Inc. - Community Health Centers of Burlington Community Health Centers of Burlington Inc. - Essex Health Center Community Health Centers of Burlington Inc. - Good Health Internal Medicine Community Health Centers of Burlington Inc. - South End Health Center Community Health Centers of Burlington Inc. - Winooski Family Health Community Health Centers of the Rutland Region, Inc. - Brandon Medical Center Community Health Centers of the Rutland Region, Inc. - Castleton Family Health Center Community Health Centers of the Rutland Region, Inc. - CHCRR Pediatrics Community Health Centers of the Rutland Region, Inc. - Mettowee Valley Family Health Center Community Health Centers of the Rutland Region, Inc. - Rutland Community Health Center Community Health Centers of the Rutland Region, Inc. - Shorewell Community Health Center Dartmouth-Hitchcock Clinic Dartmouth-Hitchcock Heater Road Evergreen Family Health Partners, LLP - Alder Brook Family Health Evergreen Family Health Partners, LLP - Evergreen Family Health Gifford Health Care, Inc. - Gifford Bethel Health Center Gifford Health Care, Inc.- Gifford Chelsea Health Center Gifford Health Care, Inc.- Gifford Health Center at Berlin- Primary Care Gifford Health Care, Inc.- Gifford Pediatrics & Adolescent Medicine Gifford Health Care, Inc.- Gifford Primary Care Gifford Health Care, Inc. - Rochester Health Center Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Cambridge Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Morrisville Lamoille Health Partners, Inc. - Lamoille Health Pediatrics North Country Hospital and Health Center Inc. - North Country Pediatrics and Adolescent Medicine North Country Hospital and Health Center Inc. - North Country Primary Care Barton Orleans North Country Hospital and Health Center Inc. - North Country Primary Care Newport Northeastern Vermont Regional Hospital, Inc. - Kingdom Internal Medicine Northeastern Vermont Regional Hospital, Inc. - NVRH Corner Medical Northeastern Vermont Regional Hospital, Inc.- NVRH St. Johnsbury Pediatrics Northern Counties Health Care, Inc. - Concord Health Center Northern Counties Health Care, Inc. - Danville Health Center Northern Counties Health Care, Inc. - Hardwick Health Center Northern Counties Health Care, Inc. - Island Pond Health Center Northern Counties Health Care, Inc. - St. Johnsbury Community Health Center Porter Hospital, Inc. - PMC Pediatric Primary Care Porter Hospital, Inc. - PMC Primary Care - Brandon Porter Hospital, Inc. - PMC Primary Care - Middlebury Porter Hospital, Inc. - PMC Primary Care – Vergennes Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Peds Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Adult Primary Care Health Partners - Vermont LLP - Cold Hollow Family Practice Primary Care Health Partners - Vermont LLP - Monarch Maples Pediatrics Primary Care Health Partners - Vermont LLP – Mt. Anthony Primary Care Primary Care Health Partners - Vermont LLP - St. Albans Primary Care Primary Care Health Partners - Vermont LLP - Timber Lane Pediatrics Southwestern Vermont Medical Center, Inc. - SVMC Deerfield Valley Campus Southwestern Vermont Medical Center, Inc. - SVMC Medical Associates Southwestern Vermont Medical Center, Inc. - SVMC Northshire Campus Southwestern Vermont Medical Center, Inc. - SVMC Pediatric Services Southwestern Vermont Medical Center, Inc. - SVMC Pownal Campus Springfield Medical Care Systems, Inc. DBA North Star Health - Charlestown Family Medicine Springfield Medical Care Systems, Inc. DBA North Star Health - Ludlow Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - MT Valley Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - Springfield Health Center The Richford Health Center, Inc. - Enosburg Health Center The Richford Health Center, Inc. - Fairfax Health Center The Richford Health Center, Inc. - Georgia Health Center The Richford Health Center, Inc. - Notch Primary Care The Richford Health Center, Inc. - Richford Health Center The Richford Health Center, Inc. - St. Albans Health Center The Richford Health Center, Inc. - Swanton Health Center University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Burlington University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Williston University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Essex Junction University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care South Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Williston University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Colchester University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Hinesburg University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Milton University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine South Burlington Windsor Hospital Corporation - Mt. Ascutney Physician Practices Adult Primary Care Windsor Hospital Corporation - Mt. Ascutney Physician Practices Peds Windsor Hospital Corporation - Ottauquechee Health Center
Please find the ninth site associated with your single TIN# listed in this dropdown.
9th Practice Screening - Reporting Period: January 1, 2025 to May 31, 2025 Please tell us what tool you used to screen for health related social needs:(Required) Add 10th Practice
10th Practice Legal Business Name - 10th Practice(Required) Please select your legal business name. Brattleboro Memorial Hospital, Inc. - Brattleboro Family Medicine Brattleboro Memorial Hospital, Inc. - Maplewood Family Practice Brattleboro Memorial Hospital, Inc. - Putney Health Center Brattleboro Memorial Hospital, Inc. - Windham Family Practice Central Vermont Medical Center Inc. - CVMC Adult Primary Care-Barre Central Vermont Medical Center Inc. - CVMC Family Medicine-Berlin Central Vermont Medical Center Inc. - CVMC Family Medicine-Mad River Central Vermont Medical Center Inc. - CVMC Family Medicine-Main Campus Central Vermont Medical Center Inc. - CVMC Family Medicine-Waterbury Central Vermont Medical Center Inc. - CVMC Integrative Family Medicine-Montpelier Central Vermont Medical Center Inc. - CVMC Pediatrics Primary Care-Berlin Central Vermont Medical Center Inc. - CVMC Green Mountain Family Practice Community Health Centers of Burlington Inc. - Champlain Islands Health Center Community Health Centers of Burlington Inc. - Community Health Centers of Burlington Community Health Centers of Burlington Inc. - Essex Health Center Community Health Centers of Burlington Inc. - Good Health Internal Medicine Community Health Centers of Burlington Inc. - South End Health Center Community Health Centers of Burlington Inc. - Winooski Family Health Community Health Centers of the Rutland Region, Inc. - Brandon Medical Center Community Health Centers of the Rutland Region, Inc. - Castleton Family Health Center Community Health Centers of the Rutland Region, Inc. - CHCRR Pediatrics Community Health Centers of the Rutland Region, Inc. - Mettowee Valley Family Health Center Community Health Centers of the Rutland Region, Inc. - Rutland Community Health Center Community Health Centers of the Rutland Region, Inc. - Shorewell Community Health Center Dartmouth-Hitchcock Clinic Dartmouth-Hitchcock Heater Road Evergreen Family Health Partners, LLP - Alder Brook Family Health Evergreen Family Health Partners, LLP - Evergreen Family Health Gifford Health Care, Inc. - Gifford Bethel Health Center Gifford Health Care, Inc.- Gifford Chelsea Health Center Gifford Health Care, Inc.- Gifford Health Center at Berlin- Primary Care Gifford Health Care, Inc.- Gifford Pediatrics & Adolescent Medicine Gifford Health Care, Inc.- Gifford Primary Care Gifford Health Care, Inc. - Rochester Health Center Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Cambridge Lamoille Health Partners, Inc. - Lamoille Health Family Medicine Morrisville Lamoille Health Partners, Inc. - Lamoille Health Pediatrics North Country Hospital and Health Center Inc. - North Country Pediatrics and Adolescent Medicine North Country Hospital and Health Center Inc. - North Country Primary Care Barton Orleans North Country Hospital and Health Center Inc. - North Country Primary Care Newport Northeastern Vermont Regional Hospital, Inc. - Kingdom Internal Medicine Northeastern Vermont Regional Hospital, Inc. - NVRH Corner Medical Northeastern Vermont Regional Hospital, Inc.- NVRH St. Johnsbury Pediatrics Northern Counties Health Care, Inc. - Concord Health Center Northern Counties Health Care, Inc. - Danville Health Center Northern Counties Health Care, Inc. - Hardwick Health Center Northern Counties Health Care, Inc. - Island Pond Health Center Northern Counties Health Care, Inc. - St. Johnsbury Community Health Center Porter Hospital, Inc. - PMC Pediatric Primary Care Porter Hospital, Inc. - PMC Primary Care - Brandon Porter Hospital, Inc. - PMC Primary Care - Middlebury Porter Hospital, Inc. - PMC Primary Care – Vergennes Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Peds Primary Care Health Partners - Vermont LLP - Brattleboro Primary Care - Adult Primary Care Health Partners - Vermont LLP - Cold Hollow Family Practice Primary Care Health Partners - Vermont LLP - Monarch Maples Pediatrics Primary Care Health Partners - Vermont LLP – Mt. Anthony Primary Care Primary Care Health Partners - Vermont LLP - St. Albans Primary Care Primary Care Health Partners - Vermont LLP - Timber Lane Pediatrics Southwestern Vermont Medical Center, Inc. - SVMC Deerfield Valley Campus Southwestern Vermont Medical Center, Inc. - SVMC Medical Associates Southwestern Vermont Medical Center, Inc. - SVMC Northshire Campus Southwestern Vermont Medical Center, Inc. - SVMC Pediatric Services Southwestern Vermont Medical Center, Inc. - SVMC Pownal Campus Springfield Medical Care Systems, Inc. DBA North Star Health - Charlestown Family Medicine Springfield Medical Care Systems, Inc. DBA North Star Health - Ludlow Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - MT Valley Health Center Springfield Medical Care Systems, Inc. DBA North Star Health - Springfield Health Center The Richford Health Center, Inc. - Enosburg Health Center The Richford Health Center, Inc. - Fairfax Health Center The Richford Health Center, Inc. - Georgia Health Center The Richford Health Center, Inc. - Notch Primary Care The Richford Health Center, Inc. - Richford Health Center The Richford Health Center, Inc. - St. Albans Health Center The Richford Health Center, Inc. - Swanton Health Center University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Burlington University of Vermont Medical Center Inc. - UVM Children's Hospital Pediatrics-Williston University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Essex Junction University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care South Burlington University of Vermont Medical Center Inc. - UVM Medical Center Adult Primary Care Williston University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Colchester University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Hinesburg University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine Milton University of Vermont Medical Center Inc. - UVM Medical Center Family Medicine South Burlington Windsor Hospital Corporation - Mt. Ascutney Physician Practices Adult Primary Care Windsor Hospital Corporation - Mt. Ascutney Physician Practices Peds Windsor Hospital Corporation - Ottauquechee Health Center
Please find the 10th site associated with your single TIN# listed in this dropdown.
10th Practice Screening - Reporting Period: January 1, 2025 to May 31, 2025 Please tell us what tool you used to screen for health related social needs:(Required)
Please explain any limitations on reporting a January 1, 2025 to May 31, 2025 screening rate or anything else you would like to share:
