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Organization
GIFFORD MEDICA CENTER
Active
Organization
GIFFORD MEDICA CENTER
Active
Other names
Bethel Adult Day
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL K COSTA (CEO)
(802) 728-2211
Entity
Organization
Contact information
Practice address
1823 VT RTE 107, BETHEL, VT 05032-9107
(802) 728-2411
Mailing address
1823 VT RTE 107, BETHEL, VT 05032-9107
(802) 728-2411
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
685
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047W151
—
VT
Enumeration date
08/01/2007
Last updated
07/01/2025
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