| Martha's Vineyard Hospital, Inc. | |
|
1 Hospital Rd Oak Bluffs MA 02557-1406 | |
| (508) 693-0410 | |
| (508) 696-7746 |
| Full Name | Martha's Vineyard Hospital, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Hospital Rd, Oak Bluffs, Massachusetts |
| Authorized Official Name and Position | Elizabeth J Ganem (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5086844587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha's Vineyard Hospital, Inc. Po Box 1477 Oak Bluffs MA 02557-1477 Ph: (508) 693-0410 | Martha's Vineyard Hospital, Inc. 1 Hospital Rd Oak Bluffs MA 02557-1406 Ph: (508) 693-0410 |
| NPI Number | 1508413725 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 07/26/2022 |
| Medicare PECOS PAC ID | 9931166113 |
|---|---|
| Medicare Enrollment ID | O20200804001902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508413725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Henry S Nieder Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Linton Lane, Oak Bluffs, MA 02557 Phone: 508-693-0019 |