| Gifford Pedicatric And Adolescent Medicine | |
|
40 S Main St Randolph VT 05060 | |
| (802) 728-2420 | |
| (802) 728-2111 |
| Full Name | Gifford Pedicatric And Adolescent Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 40 S Main St, Randolph, Vermont |
| Authorized Official Name and Position | Daniel Bennett (CEO) |
| Authorized Official Contact | 8027282211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gifford Pedicatric And Adolescent Medicine 44 S Main St Randolph VT 05060-1378 Ph: (802) 728-2760 | Gifford Pedicatric And Adolescent Medicine 40 S Main St Randolph VT 05060 Ph: (802) 728-2420 |
| NPI Number | 1831782929 |
|---|---|
| Provider Enumeration Date | 02/19/2021 |
| Last Update Date | 08/03/2021 |
| Medicare PECOS PAC ID | 2668624982 |
|---|---|
| Medicare Enrollment ID | O20240221002701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831782929 | NPI | - | NPPES |
| 0005699 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Gifford Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 44 South Main St., Randolph, VT 05060 Phone: 802-728-7000 Fax: 802-728-4245 | |
Gifford Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 44 S Main St Ste 2, Randolph, VT 05060 Phone: 802-728-7000 Fax: 802-728-4245 | |
Gifford Ob/gyn And Midwifery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 S Main St Ste 1, Randolph, VT 05060 Phone: 802-728-2401 | |
Gifford Health Center At Kingwood Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1422 Route 66 Uppr Level, Randolph, VT 05060 Phone: 802-728-7100 Fax: 802-728-7199 |