Vineyard Complementary Medicine, Inc

LBN: Vineyard Complementary Medicine, Inc
Vineyard Complementary Medicine, Inc is an health care organization with primary practice located at 238 Edgartown Vineyard Haven Road Unit 1, Edgartown MA 02539-6932. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty. Vineyard Complementary Medicine, Inc can be contacted via phone (508) 693-3800, or through Sanford, Susan A via phone (508) 693-3800.

Contact Information

Primary practice address
238 Edgartown Vineyard Haven Road Unit 1 Edgartown MA 02539-6932
Phone: (508) 693-3800
Fax: (508) 693-7473
Website:
Map and Directions
Authorized official contact:
Name: Sanford, Susan A Physical Therapist (PT)
Phone: (508) 693-3800

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 687 Massachusetts
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X

Profile Details

NPI number 1053490896
LBN Legal business name Vineyard Complementary Medicine, Inc
DBA Doing business as
Authorized official Sanford, Susan A Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2006
Last updated Dec 1st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053490896 NPPES
Massachusetts Other Y61445 BCBS OF MA
Massachusetts Other AA52541 BCBS OF MA

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