Welcome to Northern Tier Center for Health

Northern Tier Center for Health (NOTCH) is a mission driven primary care practice with a focus on quality and continuity of care. We are a not-for-profit corporation governed by a community-based Board of Directors whose mission is to provide high-quality care in Vermont’s Franklin and Grand Isle counties.

NOTCH’s team of compassionate and devoted health care professionals and support staff develop long-term relationships with patients, often serving multi-generational families. The organization offers a full spectrum of health care services, including family medicine, obstetrics, internal medicine, behavioral health, pharmacy, lab, and general dentistry.

Federally-funded health centers care for you, even if you have no health insurance. You pay what you can afford based on your income. Health centers provide:

This health center is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).


Call (802) 933-5831 or any NOTCH medical office to schedule a Saturday appointment in Enosburg


NOTCH Executive Director Pamela Parsons (center) with Fairfax Health Center providers Audrey von Lepel, MD (left) and Kathleen Talbot, PA-C (right)

Fairfax Associates in Medicine to join Northern Tier Center for Health.  Click here to read press release

Discrimination is Against the Law


Northern Tier Center for Health (NOTCH) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.   NOTCH does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.


If you need these services, contact Lynn Desautels

If you believe that NOTCH has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex you can file a grievance with: Lynn Desautels, Quality Assurance and Improvement/Risk Manager, 44 Main Street, Suite 200, Richford, VT, 05476, Phone (802) 255-5568, TTY 802-255-5568, Fax 802-255-5569, ldesautels@notchvt.org.  You can file a grievance in person or by mail, fax or email.  If you need help filing a grievance, Lynn Desautels, Quality Assurance and Improvement/Risk Manager, is available to help you.

 You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office of Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at; http://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services

200 Independence Avenue, SW

Room 509 F, HHH Building

Washington, D.C.  220201

1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html

French, Spanish, Vietnamese, Chinese/Mandarin, Nepali, Serbocroatian (Serbian language). German, Cushite (oromo language-African), Arabic, Russian, Tagalog, Italian, Thai, Japanese, and Portuguese.

ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-802-255-5568 (ATS: 1-802-255-5568).  

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-802-255-5568 (TTY: 1-802-255-5568).

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-802 255-5568 (TTY: 1-802-255-5568).

注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致 1-802-255-5568(TTY1- 802-255-5568).

ध्यान दनुहोस:्तपाइले नेपाल बोल्नहन्छ भन तपाइको निम्त भाषा सहायता सवाहरू नःशल्क रूपमा उपलब्ध फोन गनुहोसर् 1- 802-255-5568  (टटवाइ: 1-802-255-5568)

OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-802-255-5568 (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 1-802-255-5568).

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-802-255-5568 (TTY: 1-802-255-5568).

XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-802-255-5568 (TTY: 1-802-255-5568).

رقم) 802-255-5568-1

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم


.(802-255-5568-1:ھاتف الصم والبكم

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-802-255-5568 (телетайп: 1-802-255-5568).

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.   Tumawag sa 1-802-255-5568 (TTY: 1-802-255-5568)

ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-802-255-5568 (TTY: 1-802-255-5568).

เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช วยเหลือทางภาษาได้ฟรี โทร 1-802-255-5568

(TTY: 1-802-255-5568)


1-802-255-5568 (TTY:1-802-255-5568ま、電にご絡だ.

ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-802-255-5568  (TTY: 1-802-255-5568)

Richford Health Center, Inc.

d/b/a Northern Tier Center for Health (NOTCH)

A Federally Qualified Health Center

Alburg Health Center

(802) 796-4414

Enosburg Health Center

(802) 933-5831

Fairfax Health Center

(802) 849-2844

Fairfield Street Health Center

(802) 527-4151

NOTCH Administration

(802) 255-5560

NOTCH Billing Department

(802) 255-5580

NOTCH Care Coordination

(802) 255-5570

NOTCH Outreach Team

(802) 255-5573

NOTCH Pharmacy (Richford)

(802) 255-5530

Richford Dental Clinic

(802) 255-5520

Richford Health Center

(802) 255-5500

St.Albans Health Center

(802) 524-4554

Swanton Health Center

Medical and Dental

(802) 868-2454


Bill pay now available in Patient Portal