{
"Npi": {
"NPI": "1497832646",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "MARTHA'S VINEYARD HOSPITAL, INC.",
"ParentOrgTIN": null,
"OrgName": "MARTHA'S VINEYARD HOSPITAL, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1477",
"SecondLineMailingAddress": "1 HOSPITAL RD",
"MailingAddressCityName": "OAK BLUFFS",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02557",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "508-693-0410",
"MailingAddressFaxNumber": "508-696-8516",
"FirstLinePracticeLocationAddress": "1 HOSPITAL RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OAK BLUFFS",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "02557",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "508-693-0410",
"PracticeLocationAddressFaxNumber": "508-696-8516",
"EnumerationDate": "11/01/2006",
"LastUpdateDate": "09/03/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "O'REILLY",
"AuthorizedOfficialFirstName": "BRENDAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR OF FINANCE",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "617-726-3221",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282NC0060X",
"TaxonomyName": "Critical Access Hospital",
"LicenseNumber": "2042",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}