Sliding scale health-care services:

Medical & calendar icon

Checkups when you’re well, and treatment when you’re sick

Doctor and parent with baby

Immunizations and checkups for your children

Dental icon

Preventive and primary care dental services

medication icon

Prescription medications and diabetic supplies

Mental health icon

Mental health and substance abuse care

Looking for help after hours?

NOTCH has 24/7 after-hours phone coverage – call the location where you receive your care and follow the instructions to reach the on-call provider.

Patient Centered Medical Home (PCMH)

NOTCH has been recognized by the National Committee for Quality Assurance (NCQA) as a Patient-Centered Medical Home since 2012.

The PCMH model of care places an emphasis on team-based care, communication, access, and care coordination. It also emphasizes better management of chronic conditions. This means that at NOTCH, we take extra care to track patients who have chronic diseases such as diabetes, or are at an age where critical preventative screenings, such as colonoscopies, need to begin.

NOTCH’s recognition is a reflection of our commitment to improving the health of our community. By managing and preventing chronic disease and promoting healthy lifestyles, we aim to empower our patients to take a proactive approach in managing their self-care and well-being.


News & Updates

Olivia Sprague, Pharm D – Appointed to Vermont Board of Pharmacy! Olivia Sprague, Pharm D, has been appointed to The Vermont Board of Pharmacy. The Board is an eight-member board created by the legislature whose…Read more >

Sarah DeSilvey, DNP Nominated to Serve on National Health Information Technology Advisory Committee! 
Please join us in congratulating Sarah DeSilvey, DNP for being nominated to serve on the Health Information Technology Advisory Committee (HITAC)! The HITAC Sarah will serve on makes recommendations about…Read more >

NOTCH Opens St. Albans Pharmacy!
NOTCH is excited to expand access to pharmacy services in Franklin County!  NOTCH St. Albans Pharmacy is… Read more >


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, internal medicine, behavioral health, pharmacy, lab, and general dentistry.