Organization
GIFFORD HEALTH CARE, INC.
Active
Parent organization
GIFFORD HEALTH CARE, INC.
Other names
Gifford Health Center at Kingwood
Organization subpart
Yes
Provider details
NPI number
Legal business name
GIFFORD HEALTH CARE, INC.
Authorized official
MICHAEL K COSTA (CEO)
(802) 728-2211
Entity
Organization
Contact information
Practice address
1422 ROUTE 66 UPPR LEVEL, RANDOLPH, VT 05060-7718
(802) 728-7100
(802) 728-7199
Mailing address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-7000
(802) 728-4245
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
VT
Other
Enumeration date
10/13/2016
Last updated
07/01/2025
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