Organization
GIFFORD MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SANVILLE (VP FINANCE)
80272822228
Entity
Organization
Contact information
Practice address
44 S MAIN ST, 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
(702) 728-2394
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0270000358
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475058
—
VT
Enumeration date
09/08/2006
Last updated
08/22/2020
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