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Organization

GIFFORD MEDICAL CENTER

Active
Other names
Respite
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, RANDOLPH, VT 05060-1381
(802) 728-2372
(802) 728-2613
Mailing address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2372
(802) 728-2613

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
685
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047R021
VT
Enumeration date
01/11/2008
Last updated
07/01/2025
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