ISLAND HEALTH INC. NPI 1316077464

NPI Information

ISLAND HEALTH INC. is a rural health clinic center in Edgartown, MA. ISLAND HEALTH INC. NPI is 1316077464. The provider is registered as an organization entity type.
The provider Is Doing Business As Island Health Care.

The provider's business location address is:

245 VINEYARD HAVEN-EDGARTOWN ROAD
EDGARTOWN, MA
ZIP 02539
Phone: (508) 939-9358

The provider's authorized official is Cynthia Mitchell .
The authorized official title is Executive Director and has the following contact phone number (508) 627-5797.

The CLIA number assigned to this NPI record is 22D1026115 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/7/2007 and was last updated on 7/6/2015.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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