Organization
GIFFORD MEDICAL CENTER INC
Active
Parent organization
GIFFORD MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
GIFFORD MEDICAL CENTER
Authorized official
MICHAEL K COSTA (CEO)
(802) 728-2211
Entity
Organization
Contact information
Practice address
44 S MAIN ST, BOX 2000, RANDOLPH, VT 05060-1381
(802) 728-7000
(802) 728-2394
Mailing address
PO BOX 2000, 44 SOUTH MAIN STREET, RANDOLPH, VT 05060-2000
(802) 728-7000
(802) 728-2394
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
669
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047Z301
—
VT
Enumeration date
08/11/2006
Last updated
07/01/2025
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