NPIMap

Organization Active NPI

Gifford Health Care, Inc

Doing business as Chelsea Health Center

  • Federally Qualified Health Center (FQHC)
  • Chelsea, VT
National Provider Identifier
1457781031
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GIFFORD HEALTH CARE, INC
Doing business as
Chelsea Health Center
Practice address
356 VT Rte110
Chelsea, VT 05038-8993
Phone
(802) 685-4400
Fax
(802) 685-4329
NPI assigned
Nov 19, 2013
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GIFFORD HEALTH CARE, INCAs reported in NPPES

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
Federally Qualified Health Center (FQHC) 261QF0400X VT Primary

Addresses

Primary practice location

356 VT Rte110
Chelsea, VT 05038-8993

Mailing address

44 S Main St
Randolph, VT 05060-1381
Phone (802) 728-7000

Other names 1

  • CHELSEA HEALTH CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140409002154 VT Part A Provider - Federally Qualified Health Center (FQHC) 2668624982 Practice locations: Chelsea, VT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457781031. Details of each certification follow.

Federally qualified health center certification: CCN 471855

Legal name
GIFFORD HEALTH CARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 28, 2014
Last certification
Apr 28, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 23, 2012 in VT
Enrollment address
365 VT Rte 110
Chelsea, VT 50388994

Other NPIs with the same Medicare PAC ID 8

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D0695137Chelsea Health Center356 VT Route 110, Chelsea, VT 05038Provider-performed microscopyFeb 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Gifford Health Care Inc10 organizations share this tax ID, including this one
Part of
Gifford Health Care Inc

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kathleen Mason Individual Operational/Managerial ControlBoard Member Jan 1, 2025
Jody Davignon Individual Operational/Managerial Control Jan 1, 2022
Michael K Costa Individual Corporate DirectorCeo Oct 3, 2024
W-2 Managing EmployeeCeo Oct 3, 2024
Victor Ribaudo Individual Operational/Managerial Control Jan 1, 2022
Cheyenne Holland Individual Corporate OfficerCfo Aug 19, 2024
Jeffrey J Nelb Individual Operational/Managerial ControlBoard Member Jan 1, 2025
Paul Putney Individual Operational/Managerial ControlBoard Member Jan 1, 2025
Kristin Chandler Individual Operational/Managerial Control Jan 1, 2022
Cindy Rosalbo Individual Operational/Managerial ControlBoard Member Jan 1, 2025
Sarah Jackson Individual Operational/Managerial Control Jan 1, 2022
Morgan Rilling Individual Operational/Managerial Control Jan 1, 2022
Jamie Kinnarney Individual Operational/Managerial ControlBoard Member Jan 1, 2025
Peter Reed Individual Operational/Managerial Control Jan 1, 2022
Emilija O Florance Individual Operational/Managerial ControlBoard Member Apr 30, 2023
Matthew Considine Individual Other Dec 19, 2013

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1457781031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 S MAIN ST",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050601381",
            "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": "356 VT RTE110",
            "city": "CHELSEA",
            "state": "VT",
            "postal_code": "050388993",
            "telephone_number": "802-685-4400",
            "fax_number": "802-685-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFFORD HEALTH CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GIFFORD HEALTH CARE, INC",
        "enumeration_date": "2013-11-19",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHELSEA HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHELSEA HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chelsea, VT

Sources for this page

Verify at the official NPI Registry.