ISLAND HEALTH INC.; NPI #1316077464

Contact Information

ISLAND HEALTH INC.

245 VINEYARD HAVEN-EDGARTOWN ROAD
EDGARTOWN, MA 02539

Phone: 508-939-9358
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for ISLAND HEALTH INC.

NPI # 1316077464

LBN Legal business name ISLAND HEALTH INC.

Authorized official CYNTHIA MITCHELL - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/07/2007

Last updated 03/28/2024 - About 2 years ago

Identifiers

MA	License #	4XHU
MA	Medicaid	22-3800

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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