GIFFORD MEDICAL CENTER (NPI# 1720374952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720374952 |
| Entity Type | Organization |
| Organization Name | GIFFORD MEDICAL CENTER |
| Practice Address |
44 S Main St Randolph VT 05060-1381 |
| Practice Telephone | 8027282125 |
| Practice Fax Number | 8027282143 |
| Mailing Telephone | 8027282123 |
| Mailing Fax Number | 8027282143 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | BROOKS CHAPIN (DIRECTOR OF NURSING) |
| Authorized Official Telephone | 8027282123 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | MENIG EXTENDED CARE FACILITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 0270000358 | VT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 475058 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730365503 | Gifford Medical Center | Respite Care | 44 S Main St, Randolph, VT 05060-1381 | 2008-01-11 |
| 1013107119 | Gifford Medical Center | Rehabilitation Unit | 1823 Vt Rte 107, Bethel, VT 05032-9107 | 2007-07-26 |
| 1750400271 | Gifford Medical Center | Chiropractor | 44 S Main St, Randolph, VT 05060-1381 | 2007-03-28 |
| 1205955747 | Gifford Medical Center | Anesthesiology | 44 S Main St, Randolph, VT 05060-1381 | 2007-03-28 |
| 1710081120 | Gifford Medical Center | Nursing Facility/Intermediate Care Facility | 44 S Main St, Randolph, VT 05060-1381 | 2006-09-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | GIFFORD MEDICAL CENTER | 44 South Main Street, Randolph, VT 05060 |
| Vermont Business Registrations | GIFFORD MEDICAL CENTER, INC. | 44 S. Main Street, Randolph, VT 05060 |
| Street Address |
44 S MAIN ST |
| City | RANDOLPH |
| State | VT |
| Zip Code | 05060-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871581892 | Paul E Ronish | Pharmacist | 44 S Main St, Randolph, VT 05060-1381 | 2005-10-13 |
| 1619595451 | Molly Weinberg | Counselor | 44 S Main St, Randolph, VT 05060-1381 | 2020-07-08 |
| 1740806793 | Tracy B Webster | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2020-06-24 |
| 1447875786 | Julie Holland | Registered Nurse | 44 S Main St, Randolph, VT 05060-1381 | 2020-06-12 |
| 1992354112 | Minta Trivette | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2019-09-10 |
| 1760971139 | Emily Pizzale | Social Worker | 44 S Main St, Randolph, VT 05060-1381 | 2018-05-01 |
| 1447700919 | David Mathies | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2016-10-09 |
| 1245683499 | Rachel Salloway | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2016-07-22 |
| 1700232212 | Gifford Health Care, Inc | Clinic/Center | 44 S Main St, Randolph, VT 05060-1381 | 2016-05-13 |
| 1114372109 | Devin Alexander | Pediatrics | 44 S Main St, Randolph, VT 05060-1381 | 2016-04-27 |
| Find all providers in the same location | ||||
| 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 |
| 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 |
| 1316128168 | Teresa Rodimon | Counselor | 11 Main Street, Randolph, VT 05060 | 2007-11-21 |
| 1578731279 | August R. Meyer | Psychologist | 8 Mountain Ave, Randolph, VT 05060-1017 | 2008-02-15 |
| Find all providers in zip 05060 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366832230 | Gifford Retirement Community, Inc | Nursing Facility/Intermediate Care Facility | 3556 Rt 66, Randolph, VT 05060-1318 | 2015-01-30 |
| 1710081120 | Gifford Medical Center | Nursing Facility/Intermediate Care Facility | 44 S Main St, Randolph, VT 05060-1381 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528361326 | Forest Hill Residential Care Home | Nursing Facility/Intermediate Care Facility | 213 Clark Drive, Hyde Park, VT 05655-9218 | 2010-12-16 |
| 1932248309 | Brattleboro Mutual Aid Association, Inc. | Nursing Facility/Intermediate Care Facility | 80 Maple St, Brattleboro, VT 05301-6551 | 2007-02-05 |
| 1861488520 | Merten's House | Nursing Facility/Intermediate Care Facility | 73 River St, Woodstock, VT 05091-1226 | 2005-09-27 |
| 1124027503 | Mcgirr Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 33 Atkinson St, Bellows Falls, VT 05101-1502 | 2005-07-19 |
| 1588666754 | Cedar Hill Health Care Corporation | Nursing Facility/Intermediate Care Facility | 49 Cedar Hill Dr, Windsor, VT 05089-9470 | 2005-06-01 |
| 1942629860 | Maple Hill Residential Care Home | Nursing Facility/Intermediate Care Facility | 26 Union St, Waterbury, VT 05676-1303 | 2014-04-08 |
| 1497173470 | David W Anderson | Nursing Facility/Intermediate Care Facility | 26 Union St, Waterbury, VT 05676-1303 | 2014-04-07 |
| 1295172369 | Cm Healthcare LLC | Nursing Facility/Intermediate Care Facility | 312 Crescent Blvd, Bennington, VT 05201-2419 | 2013-05-30 |
| 1619091337 | Cedar Hill Healthcare Center | Nursing Facility/Intermediate Care Facility | 49 Cedar Hill Dr, Windsor, VT 05089-9470 | 2007-03-19 |
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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.