Organization
GIFFORD MEDICAL 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) 234-2114
(802) 234-5507
Mailing address
1823 VT RTE 107, BETHEL, VT 05032-9107
(802) 234-2114
(802) 234-5507
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
685
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047W081
—
VT
Enumeration date
07/26/2007
Last updated
07/01/2025
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