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CHC26798-05 Gifford Health Care, Inc. (Active)
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Main Details
Name
Gifford Health Care, Inc.
Subdivision Name
Rochester Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013791
340B ID
CHC26798-05
Grant Number
H80CS26798
Additional Details
Current Program Status
Active
Registration Date
5/13/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/14/2014
Last Recertification Date
2/24/2025
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
235 S Main St
Rochester, VT 05767-9683
Billing Address
Gifford Health Care, Inc.
44 S. Main St STE 2
RANDOLPH, VT 05060
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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