Organization Name: | GIFFORD HEALTH CARE, INC |
NPI Number: | 1013269430 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY CHARLES HEBERT (CEO) |
Mailing Address: | 44 South Main St. Randolph |
State: | VT US |
Postal Code: | 050602000 |
Phone Number: | 8027287000 |
Fax Number: | 8027284245 |
NPI Enumeration Date: | 10/09/2012 |
NPI Last Update Date: | 04/29/2016 |
Replacement NPI: | 0 |
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NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |