| Organization Name: | MARTHA'S VINEYARD HOSPITAL |
| NPI Number: | 1013338581 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD OLIVIER (CFO) |
| Mailing Address: | One Hospital Road Oak Bluffs |
| State: | MA US |
| Postal Code: | 025571477 |
| Phone Number: | 5089579580 |
| Fax Number: | 5086968516 |
| NPI Enumeration Date: | 12/30/2013 |
| NPI Last Update Date: | 12/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 2042 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |