340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH471301-04 GIFFORD MEDICAL CENTER (Active)
Print
Main Details
Name
GIFFORD MEDICAL CENTER
Subdivision Name
LEVESQUE MEDICAL OFFICES - PODIATRY CLINIC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH471301-04
Medicare Provider Number
471301
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
6/8/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/14/2011
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Gifford Health Care, Inc.
Michael Costa, CEO
(802) 728-2211
Primary Contact
Gifford Health Care, Inc.
Dawn M Cogger, 340B Coordinator
(802) 728-2108
Addresses
Street Address
44 SOUTH MAIN STREET
RANDOLPH, VT 05060
Billing Address
LEVESQUE MEDICAL OFFICES - PODIATRY CLINIC
P.O. BOX 2000
RANDOLPH, VT 05060
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session