Organization
GIFFORD MEDICAL CENTER INC
Active
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, BOX 2000, RANDOLPH, VT 05060-1381
(802) 728-7000
(802) 728-2613
Mailing address
PO BOX 2000, 44 SOUTH MAIN STREET, RANDOLPH, VT 05060-2000
(802) 728-7000
(802) 728-2613
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0471301
—
VT
Enumeration date
08/09/2006
Last updated
07/01/2025
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