| Organization Name: | MARTHA'S VINEYARD HOSPITAL |
| NPI Number: | 1316282627 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RALPH E BUCK (CERTIFIED FIRST ASSISTANT) |
| Mailing Address: | 1 Hospital Rd Vineyard Haven |
| State: | MA US |
| Postal Code: | 025682604 |
| Phone Number: | 5086961052 |
| Fax Number: | 5087906849 |
| NPI Enumeration Date: | 11/28/2012 |
| NPI Last Update Date: | 11/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | 246ZC0007X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |