NPI | 1326478702 |
---|---|
Doing Business As | GIFFORD PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | DANIEL BENNETT 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 | 2021-08-03 |