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Organization
GIFFORD MEDICAL CENTER INC.
Active
Organization
GIFFORD MEDICAL CENTER INC.
Active
Other names
Clinics Group Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL K COSTA CEO (CEO)
(802) 728-2211
Entity
Organization
Contact information
Practice address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-7000
(802) 728-2613
Mailing address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-7000
(802) 728-2613
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18705 70
BLUE CROSS
VT
Enumeration date
03/28/2007
Last updated
07/01/2025
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