GIFFORD HEALTH CARE, INC. (NPI# 1619427663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619427663 |
Entity Type | Organization |
Organization Name | GIFFORD HEALTH CARE, INC. |
Other Organization Name | GIFFORD HEALTH CENTER AT KINGWOOD |
Practice Address |
1422 Route 66 Randolph VT 05060-7718 |
Mailing Address |
44 S Main St Randolph VT 05060-1381 |
Practice Telephone | 8027287100 |
Practice Fax Number | 8027287199 |
Mailing Telephone | 8027287000 |
Mailing Fax Number | 8027284245 |
Enumeration Date | 2016-10-13 |
Last Update Date | 2016-10-13 |
Authorized Official Name | MR. JEFFREY C HEBERT (VICE PRESIDENT OF FINANCE/CFO) |
Authorized Official Telephone | 8027282356 |
Is Organization Subpart | Y |
Parent Organization Name | GIFFORD HEALTH CARE, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
VT | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Gifford Health Center at Kingwood | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | GIFFORD HEALTH CARE, INC. | 44 S Main St, Randolph, VT 05060-1381 |
Vermont Business Registrations | GIFFORD HEALTH CARE, INC. | 44 S Main St, P.o. Box 2000, Randolph, VT 05060 |
Street Address |
1422 ROUTE 66 |
City | RANDOLPH |
State | VT |
Zip Code | 05060-7718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497003099 | Courtney Austin | Pharmacist | 12 North Main St., Randolph, VT 05060 | 2012-08-29 |
1851467658 | John Leonard Westbrook | Dentist | 1422 Vt Rt 66, Randolph, VT 05060 | 2006-11-27 |
1750470829 | Christopher Mclean Wilson | Dentist | 55 Central Street, Randolph, VT 05060 | 2006-10-12 |
1538170006 | Eric C Medved | Physical Therapist | 44 South Main Street, Randolph, VT 05060 | 2006-08-10 |
1295100048 | Ashley Shepard | Counselor | 11 N Main St, Randolph, VT 05060 | 2015-12-04 |
1326434713 | Emilija O Florance | Family Medicine | 44 S Main St, Randolph, VT 05060 | 2015-04-13 |
1891117545 | Penny Fossman | Registered Nurse | 44 S Main St, Randolph, VT 05060 | 2014-01-15 |
1053679266 | Clara Martin Center | Community/Behavioral Health | 11 Main Street, Randolph, VT 05060 | 2012-04-25 |
1770840829 | Andrea L. Larosa | Nurse Practitioner | 44 South Main Street, Box 2000, Randolph, VT 05060 | 2012-04-13 |
1043498561 | Jessica Schupp | Counselor | 11 Main Street, Randolph, VT 05060 | 2008-02-06 |
Find all providers in zip 05060 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326478702 | Gifford Health Care, Inc | Clinic/Center | 44 S Main St, Randolph, VT 05060-1381 | 2013-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447768569 | Springfield Medical Care Systems Inc | Clinic/Center | 43 Union St, Springfield, VT 05156-3133 | 2018-01-11 |
1457869570 | Springfield Medical Care Systems Inc | Clinic/Center | 10 Hoover St, Springfield, VT 05156-2425 | 2018-01-11 |
1356859474 | Springfield Medical Care Systems Inc | Clinic/Center | 303 South St, Springfield, VT 05156-3226 | 2018-01-11 |
1508373655 | Springfield Medical Care Systems Inc | Clinic/Center | 13 Fairground Rd, Springfield, VT 05156-2112 | 2018-01-10 |
1639544331 | Springfield Medical Care Systems Inc | Clinic/Center | 38 Vermont Route 11, Londonderry, VT 05148-9555 | 2015-12-07 |
1457781031 | Gifford Health Care, Inc | Clinic/Center | 356 Vt Rte110, Chelsea, VT 05038-8993 | 2013-11-19 |
1114252400 | Springfield Medical Care Systems Inc | Clinic/Center | 362 River St, Suite 200, Springfield, VT 05156-2242 | 2009-10-05 |
1902008485 | Northeast Washington County Community Health Inc | Clinic/Center | 25 Common Road, Cabot, VT 05647-0999 | 2007-06-05 |
1114044344 | Northern Counties Health Care, Inc. | Clinic/Center | 151 North Main Street, Hardwick, VT 05843 | 2007-03-23 |
1699755348 | Northeast Washington County Community Health, Inc. | Clinic/Center | 157 Towne Ave., Box 320, Plainfield, VT 05667-0320 | 2006-01-19 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.