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General NPI Number Information
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NPI Number | 1497832646
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Entity Type | Organization
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Legal Business Name | MARTHA'S VINEYARD HOSPITAL, INC.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 1 HOSPITAL RD
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City | OAK BLUFFS
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State | MA
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Zip | 02557
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Country | US
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Telephone | 508-693-0410
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Fax | 508-696-8516
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Provider Business Mailing Address
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Address Line | PO BOX 1477 1 HOSPITAL RD
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City | OAK BLUFFS
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State | MA
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Zip | 02557
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Country | US
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Telephone | 508-693-0410
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Fax | 508-696-8516
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MR. BRENDAN O'REILLY
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Credential |
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Telephone | 617-726-3221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 2042
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License Number State | MA
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