Healthcare Provider Details

I. General information

NPI: 1871569582
Provider Name (Legal Business Name): NANTUCKET COTTAGE HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 03/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 PROSPECT ST
NANTUCKET MA
02554-2799
US

IV. Provider business mailing address

57 PROSPECT ST
NANTUCKET MA
02554-2799
US

V. Phone/Fax

Practice location:
  • Phone: 508-825-8100
  • Fax: 508-825-8101
Mailing address:
  • Phone: 508-825-8100
  • Fax: 508-825-8101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number099
License Number StateMA

VIII. Authorized Official

Name: MS. SYLVIA S GETMAN
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 508-825-8201