1. Home
  2. Directory
  3. Vermont
  4. Randolph
  5. Clinic Center
  6. NPI Profile

GIFFORD PEDICATRIC AND ADOLESCENT MEDICINE
NPI 1831782929
Clinic/Center - Federally Qualified Health Center (FQHC) in Randolph, VT

Active since February 19, 2021
40 S MAIN ST, RANDOLPH, VT 05060(802) 728-2420(802) 728-2111 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2021, Feb 19, 2021 (2 updates tracked since 2021).

About Gifford Pedicatric And Adolescent Medicine NPPES

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

GIFFORD PEDICATRIC AND ADOLESCENT MEDICINE (NPI 1831782929) is a healthcare organization registered as a federally qualified health center (fqhc) in Randolph, Vermont and active in the NPI registry since February 2021. The organization lists Daniel Bennett, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831782929
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGIFFORD HEALTH CARE, INC
Location Address40 S MAIN STRandolph, VT 05060
Mailing Address44 S Main StRandolph, VT 05060-1378 · (802) 728-2760 · Fax (802) 728-2716
Phone(802) 728-2420
Fax(802) 728-2111
Organization SubpartNo
Authorized OfficialDaniel BennettCeo · (802) 728-2211
Enumeration DateFebruary 19, 2021
Last NPPES UpdateAugust 3, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
✔ NPI 1831782929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
40 S MAIN ST, Randolph, VT 05060
Open in Google Maps ↗

Other Names 1

Doing Business AsGifford Pedicatric And Adolescent Medicine

Other Identifiers 1

Medicaid0005699VT

Other Providers at the Same Location NPPES 2

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

REBECCA ELIZABETH KINCAID MD
Pediatrics
40 S MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-2420
DR. CHRISTINA ILSE DINICOLA M.D.
Pediatrics
40 S MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-2420

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 Health Care, Inc's NPI number?

The NPI number for Gifford Health Care, Inc is 1831782929. It was assigned to this organization in the NPPES registry on February 19, 2021. The provider is doing business as Gifford Pedicatric And Adolescent Medicine.

Where is Gifford Health Care, Inc located?

Gifford Health Care, Inc is located at 40 S Main St, Randolph, VT 05060. The listed phone number is (802) 728-2420.

What is Gifford Health Care, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Gifford Health Care, Inc was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.