Organization · Type 2 NPI

Gifford Health Care, Inc

Federally Qualified Health Center (FQHC) · Randolph, VT

NPI number 1831782929 Active

Practice location

40 S Main St
Randolph, VT 05060

Call (802) 728-2420 Map

Fax (802) 728-2111

Mailing address

44 S Main St
Randolph, VT 05060-1378

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

2 other providers at this address

Christina Ilse Dinicola, MDPediatrics Physician Randolph, VT NPI 1962670455
Rebecca Elizabeth Kincaid, MDPediatrics Physician Randolph, VT NPI 1851633903

Other federally qualified health center (fqhc) providers in Randolph

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NPI record

NPI: 1831782929
Entity type: Organization (Type 2)
Issued: Feb 19, 2021
Last updated: Aug 3, 2021
Status: Active

Other names

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Gifford Pedicatric and Adolescent Medicine · doing business as
Gifford Pedicatric and Adolescent Medicine · doing business as

Authorized official

Daniel Bennett
CEO
(802) 728-2211

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1831782929

Gifford Health Care, Inc's National Provider Identifier is 1831782929, issued on Feb 19, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Randolph, VT. The record was last updated on Aug 3, 2021.