Healthcare Provider Details

I. General information

NPI: 1669398855
Provider Name (Legal Business Name): ISLAND HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 EDGARTOWN VINEYARD HAVEN RD
EDGARTOWN MA
02539-6948
US

IV. Provider business mailing address

PO BOX 9000
EDGARTOWN MA
02539-9000
US

V. Phone/Fax

Practice location:
  • Phone: 339-209-0155
  • Fax: 508-939-8644
Mailing address:
  • Phone: 339-209-0155
  • Fax: 508-939-8644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA MITCHELL
Title or Position: CEO
Credential:
Phone: 508-627-5797