| Vineyard Medical Services Pc | |
|
364 State Rd Vineyard Haven MA 02568 | |
| (508) 693-4400 | |
| (508) 693-2098 |
| Full Name | Vineyard Medical Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 364 State Rd, Vineyard Haven, Massachusetts |
| Authorized Official Name and Position | Michael Jacobs (PRESIDENT) |
| Authorized Official Contact | 5086394400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vineyard Medical Services Pc 364 State Rd Vineyard Haven MA 02568 Ph: (508) 693-4400 | Vineyard Medical Services Pc 364 State Rd Vineyard Haven MA 02568 Ph: (508) 693-4400 |
| NPI Number | 1316130701 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 07/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316130701 | NPI | - | NPPES |
| 110091889A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Vineyard Medical Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 364 State Rd, Vineyard Haven, MA 02568 Phone: 508-693-4400 Fax: 508-693-2098 | |
Alliance Internal Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 State Rd Unit 11, Vineyard Haven, MA 02568 Phone: 508-627-3600 Fax: 508-627-3662 |