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GIFFORD MEDICAL CENTER
NPI 1710081120
Nursing Facility/Intermediate Care Facility in Randolph, VT

Active since September 08, 2006CLIA 47D0683984 · Certificate of Compliance
44 S MAIN ST, RANDOLPH, VT 05060(802) 728-7000(802) 728-2394 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gifford Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GIFFORD MEDICAL CENTER (NPI 1710081120) is a healthcare organization registered as a nursing facility/intermediate care facility in Randolph, Vermont and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 21, 2027 and lists David Sanville, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1710081120
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameGIFFORD MEDICAL CENTER
Location Address44 S MAIN STRandolph, VT 05060-1381
Mailing AddressPo Box 2000, 44 South Main StreetRandolph, VT 05060-2000 · (802) 728-7000 · Fax (702) 728-2394
Phone(802) 728-7000
Fax(802) 728-2394
Organization SubpartNo
Authorized OfficialDavid SanvilleVp Finance · 80272822228
Enumeration DateSeptember 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710081120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in VT · 0270000358
Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

44 S MAIN ST, Randolph, VT 05060
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Other Identifiers 1

Medicaid475058VT

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 47D0683984

Gifford Medical Center · Randolph, VT
Active · expires Oct 21, 2027
CLIA Number47D0683984
Laboratory TypeHospital
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorDr. Cathy Palmer
Laboratory Phone(802) 728-2244
Laboratory LocationGifford Medical Center44 South Main St, Randolph, VT 05060
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY LYNN BLESSING PAC
Physician Assistant
44 S MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-2470
DR. BESS E BRACKETT MD
Orthopaedic Surgery
44 S MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-2455
MARCUS H COXON M.D.
Family Medicine
44 S MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-2445
G. BRENT BURGEE M.D.
Obstetrics & Gynecology
44 S MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-2430
HANK R. GLASS D.C.
Family Medicine (Sports Medicine)
44 S MAIN ST
RANDOLPH, VT 05060
Orange County (802) 763-8000
LUCY J. WOLLAEGER M.D.
Emergency Medicine
44 S MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-7000
WILLIAM JAMES YOUNG M.D.
Emergency Medicine
44 S MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-7000
ROBERT C KIESS M.D.
Family Medicine
44 S MAIN ST
RANDOLPH, VT 05060
Orange County (802) 763-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gifford Medical Center's NPI number?

The NPI number for Gifford Medical Center is 1710081120. It was assigned to this organization in the NPPES registry on September 8, 2006.

Where is Gifford Medical Center located?

Gifford Medical Center is located at 44 S Main St, Randolph, VT 05060. The listed phone number is (802) 728-7000.

What is Gifford Medical Center's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Gifford Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 47D0683984) is associated with this NPI, valid through October 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gifford Medical Center was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.