NPIMap

Organization Active NPI

Gifford Health Care, Inc

  • General Practice Physician
  • Randolph, VT
National Provider Identifier
1013269430
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GIFFORD HEALTH CARE, INC
Practice address
44 South Main St.
Randolph, VT 05060-2000
Phone
(802) 728-7000
Fax
(802) 728-4245
NPI assigned
Oct 9, 2012
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael K Costa
Title
Ceo
Phone
(802) 728-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

44 South Main St.
Randolph, VT 05060-2000

Mailing address

44 South Main St.
Randolph, VT 05060-2000
Phone (802) 728-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121213000467 VT Part B Supplier - Clinic/Group Practice 2668624982 Receives reassigned benefits from 66 practitioners
Practice locations: Barre, VT; Bethel, VT; Chelsea, VT; Randolph, VT; Rochester, VT

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

356 Vt Rte 110
Chelsea, VT 05038
Phone (802) 685-0073

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Menig Nursing HomeRandolph Ctr, VT, CCN 475058 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Trustee of the SNF
Adp of the SNF
Direct Ownership Interest (100%)		 Aug 12, 2013
Aug 12, 2013
Aug 12, 2013
Aug 12, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Gifford Retirement Community, Inc

    dba Menig Nursing Home

    • Nursing Facility/Intermediate Care Facility
    • Randolph, VT
    • NPI 1366832230

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Trustee of the SNF

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 67

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1013269430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SOUTH MAIN ST.",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050602000",
            "telephone_number": "802-728-7000",
            "fax_number": "802-728-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SOUTH MAIN ST.",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050602000",
            "telephone_number": "802-728-7000",
            "fax_number": "802-728-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFFORD HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "802-728-2211"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, VT

Sources for this page

Verify at the official NPI Registry.