| Organization Name: | GIFFORD HEALTH CARE, INC |
| NPI Number: | 1184054009 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH L WOODIN (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 82 E View Ln Barre |
| State: | VT US |
| Postal Code: | 056415332 |
| Phone Number: | 8022292325 |
| Fax Number: | 8022294572 |
| NPI Enumeration Date: | 11/13/2013 |
| NPI Last Update Date: | 04/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |