Environmental Health Center Of Martha'S Vineyard
LBN: Vineyard Personalized Medicine Llc
Environmental Health Center Of Martha'S Vineyard is an health care organization with primary practice located at 24 Cournoyer Rd , West Tisbury MA 02575. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty.
Vineyard Personalized Medicine Llc can be contacted via phone (508) 693-1300, or through Nagy, Lisa via phone (508) 693-1300.
Contact Information
Primary practice address
24 Cournoyer Rd
West Tisbury MA 02575
Phone: (508) 693-1300
Fax: (508) 693-1305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 72590 | Massachusetts |
Profile Details
| NPI number | 1275894875 |
|---|---|
| LBN Legal business name | Vineyard Personalized Medicine Llc |
| DBA Doing business as | Environmental Health Center Of Martha'S Vineyard |
| Authorized official | Nagy, Lisa Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2012 |
| Last updated | Nov 25th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275894875 | NPPES |
| Massachusetts | MEDICAID | 11009334A |
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