Organization
GIFFORD HEALTH CARE, INC.
Active
Other names
Gifford OB/GYN and Midwifery
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL K COSTA (CEO)
(802) 728-2211
Entity
Organization
Contact information
Practice address
44 S MAIN ST STE 1, RANDOLPH, VT 05060-1381
(802) 728-2401
Mailing address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-7000
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005699
—
VT
Enumeration date
04/02/2021
Last updated
07/01/2025
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