GIFFORD PEDICATRIC AND ADOLESCENT MEDICINE – NPI #1831782929
Clinic/Center

GIFFORD PEDICATRIC AND ADOLESCENT MEDICINE is an AHC clinic located in RANDOLPH, VT. NPPES has assigned the NPI number 1831782929 to GIFFORD PEDICATRIC AND ADOLESCENT MEDICINE on February 19, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GIFFORD PEDICATRIC AND ADOLESCENT MEDICINE” is a dba name, the actual legal business name for this organization is GIFFORD HEALTH CARE, INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 5 years ago on Aug 03, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GIFFORD PEDICATRIC AND ADOLESCENT MEDICINE below.

NPI Profile for
GIFFORD HEALTH CARE, INC

NPI Number
1831782929
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GIFFORD HEALTH CARE, INC
Doing Business As (dba): GIFFORD PEDICATRIC AND ADOLESCENT MEDICINE
Primary location
40 S MAIN ST
RANDOLPH, VT 05060
Phone: (802) 728-2420 Fax: (802) 728-2111
Mailing address
44 S MAIN ST
RANDOLPH, VT 05060-1378
Phone: (802) 728-2760 Fax: (802) 728-2716
Organization Subpart
No
Authorized Official
DANIEL BENNETT
CEO
Phone: (802) 728-2211
Updated
Certification Date
Aug 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GIFFORD PEDICATRIC AND ADOLESCENT MEDICINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDVT0005699
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.