Organization Name: | MARTHA'S VINEYARD HOSPITAL |
NPI Number: | 1861841207 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY GROSS (REGISTERED DIETITIAN) |
Mailing Address: | 1 Hospital Road Oak Bluffs |
State: | MA US |
Postal Code: | 02557 |
Phone Number: | 5089579473 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2016 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 302 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |