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CHC26798-06 Gifford Health Care, Inc. (Terminated)
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Main Details
Name
Gifford Health Care, Inc.
Subdivision Name
Twin River Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013794
340B ID
CHC26798-06
Grant Number
H80CS26798
Additional Details
Current Program Status
Terminated
Registration Date
5/13/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/14/2014
Last Recertification Date
2/3/2020
Termination Date
Termination Reason
7/1/2020
Site closure
Contacts
Authorizing Official
Gifford Health Care
Daniel Bennett, CEO
(802) 728-2304
Primary Contact
Gifford
Rachel A DiStefano, Specialist
(802) 728-2203
Addresses
Street Address
108 N Main St
White River Junction, VT 05001-7056
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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