VINEYARD HEALTHCARE ASSOC. NPI 1194949073

NPI Information

  • NPI: 1194949073
  • Provider Name: VINEYARD HEALTHCARE ASSOC.
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Other Name: PREVENTIVE MEDICINE ASSOC. INC.
  • Address: 455 STATE RD STE 13
    VINEYARD HAVEN, MA
    ZIP 02568
  • Phone: (508) 693-3900

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NPI Details

VINEYARD HEALTHCARE ASSOC. is an addiction medicine family medicine in Vineyard Haven, MA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. VINEYARD HEALTHCARE ASSOC. NPI is 1194949073. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Preventive Medicine Assoc. Inc..

The provider's business location address is:

455 STATE RD STE 13
VINEYARD HAVEN, MA
ZIP 02568-621
Phone: (508) 693-3900
Fax: (508) 693-0444

The provider's authorized official is Cheryl A Church .
The authorized official title is Office Manager and has the following contact phone number (617) 447-2146.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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