Patient Centered Medical Home

The Patient-Centered Medical Home (PCMH) is a model of care that focuses on the patient. PCMHs build better relationships between patients and their clinical care teams. Research shows that PCMHs improve quality and the patient experience, and increase staff satisfaction—while reducing health care costs. Practices that earn recognition have made a commitment to continuous quality improvement and a patient-centered approach to care.

NMC is the administrative entity for the Vermont Blueprint for Health in the St. Albans Health Service Area. NMC oversees the administration and quality of the PCMH model, supporting our primary care partners and fostering relationships and learning of the Community Health Team.

Through partnerships we have an expanded Community Health Team that consists of:

  • RN Care Managers
  • Behavioral Health Clinicians
  • Community Health Workers
  • MAT Care Coordinators
  • Licensed Alcohol and Drug Counselors

This team is embedded within our primary care, specialty care, long-term care, and home health agencies. 


PCMH Benefits: 

  • Reduce Fragmentation
  • Align with Payers
  • Improve Staff Satisfaction
  • Improve Patient Experience
  • Better Management of Chronic Conditions
  • Align with State/Federal Initiatives
  • Lower Health Care Costs
  • Improve Patient-Centered Access

Patient Centered Medical Home Practices

Practices of the Northern Tier Centers for Health: 

  • Alburgh Health Center, 802-796-4414, 64 Industrial Park Road, Alburgh
  • Enosburg Health Center, 802-933-5831, 382 Main Street, Enosburg
  • Fairfax Health Center, 802-849-2844, 1199 Main Street, Fairfax
  • Georgia Health Center, 802-752-1930, 4178 Highbridge Road, Georgia
  • NOTCH Primary Care, 802-524-4554, 12 Crest Road, St. Albans
  • Richford Health Center, 802-255-5500, 44 Main Street, Richford
  • Saint Albans Health Center, 802-524-4554, #2 Doctors Office Commons, St. Albans
  • Swanton Health Center, 802-262-2454, 26 Canada Street, Swanton

Practices of Primary Care Health Partners

  • Cold Hollow Family Practice, 802-933-6664, 84 Water Tower Road Unit 1, Enosburg
  • Monarch Maples St. Albans, 802-527-8189, 11 Crest Road, Suite 11A & 11B, St. Albans
  • Monarch Maples Enosburg, 802-527-8189, 44 Center Street, Enosburg
  • St. Albans Primary Care, 802-527-0753, #9 Doctors Office Commons, St. Albans

Independent Practices


Medically Assisted Treatment Teams

Vermont initiated the Hub & Spoke system to support individuals struggling with opiate use disorder over a decade ago. This system provides medical assisted treatment in primary care and specialty service sites. Each site has a Medically Assisted Treatment Registered Nurse and/or Licenced Alcohol & Drug Counselor that provides ongoing support to patients. 

  • BAART, 802-370-3545, 242 S. Main Street, St. Albans
  • Cold Hollow, 802-933-6664, 84 Water Tower Road Unit 1, Enosburg
  • Howard Center, 802-524-7265, 172 Fairfield Street, St. Albans
  • Northern Green Mountain Health Center, 802-868-3175, 12 Church Street, Swanton
  • NOTCH, 802-255-5500, 44 Main Street, Richford
  • Savida, 802-528-1500, 17 Catherine Street, St. Albans