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CAH471301-00 GIFFORD MEDICAL CENTER (Active)
Main Details
Name
GIFFORD MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH471301-00
Medicare Provider Number
471301
Contacts
Authorizing Official
Gifford Health Care
Daniel Bennett, CEO
(802) 728-2304
Primary Contact
Gifford Health Care
Dawn M Cogger, 340B Coordinator
(802) 728-2108
Additional Details
Current Program Status
Active
Registration Date
4/12/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/14/2011
Last Recertification Date
8/31/2023
Addresses
Street Address
44 SOUTH MAIN STREET
RANDOLPH, VT 05060
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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