Gifford Health Care, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Randolph, VT. Organization (NPI-2).
NPI number1831782929
StatusActive
Last updated in NPPESAug 3, 2021
Details
- NPI
- 1831782929
- Entity type
- Organization (NPI-2)
- Legal business name
- Gifford Health Care, INC
- Organization subpart
- No
- Enumeration date
- Feb 19, 2021
- Certification date
- Aug 3, 2021
- Last updated
- Aug 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Gifford Pedicatric And Adolescent Medicine (Doing Business As)
Practice location
40 S Main StRandolph, VT 05060
Phone 802-728-2420 · Fax 802-728-2111
Mailing address
44 S Main StRandolph, VT 05060-1378
Phone 802-728-2760 · Fax 802-728-2716
Authorized official
Daniel Bennett
Ceo
8027282211
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