NPI | 1326478702 |
---|---|
Doing Business As | GIFFORD PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | MICHAEL K COSTA CEO 802-728-2211 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-11-20 |
Last Update Date | 2025-07-01 |