Island Health Care | |
245 Vineyard Haven-edgartown Road Edgartown MA 02539 | |
(508) 939-9358 | |
Not Available |
Full Name | Island Health Care |
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Speciality | Clinic/Center |
Location | 245 Vineyard Haven-edgartown Road, Edgartown, Massachusetts |
Authorized Official Name and Position | Cynthia Mitchell (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5086275797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Island Health Care Po Box 1619 West Tisbury MA 02575-1619 Ph: (508) 627-5797 | Island Health Care 245 Vineyard Haven-edgartown Road Edgartown MA 02539 Ph: (508) 939-9358 |
NPI Number | 1316077464 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 03/28/2024 |
Medicare PECOS PAC ID | 3779562376 |
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Medicare Enrollment ID | O20151103000033 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316077464 | NPI | - | NPPES |
22-3800 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 4XHU (Massachusetts) | Primary |
Provider Name | James A Wolff |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1730230608 PECOS PAC ID: 5799731188 Enrollment ID: I20050329000885 |
Provider Name | Judy L Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457509747 PECOS PAC ID: 9032155262 Enrollment ID: I20050628001184 |
Provider Name | Marcia L Denine |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790875169 PECOS PAC ID: 4688759731 Enrollment ID: I20080313000153 |
Provider Name | Elizabeth Anderson Moriarty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578899795 PECOS PAC ID: 2961537881 Enrollment ID: I20100317000794 |
Provider Name | Prudy L Carter Donovan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750721312 PECOS PAC ID: 2264666833 Enrollment ID: I20131015000412 |
Provider Name | Katharine C Barnes |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1891007803 PECOS PAC ID: 6507180858 Enrollment ID: I20150115001475 |
Provider Name | Leslie Stuart Goldstein |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871580845 PECOS PAC ID: 2365410883 Enrollment ID: I20151023002334 |
Provider Name | Susan M Mcsweeney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942322359 PECOS PAC ID: 8426283490 Enrollment ID: I20151117000014 |
Provider Name | Barbara A Colocino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174707855 PECOS PAC ID: 4688655731 Enrollment ID: I20160421000127 |
Provider Name | Jenna Delsapio |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043738321 PECOS PAC ID: 1052678141 Enrollment ID: I20171128000959 |
Provider Name | Megan Terry Landeck |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487199535 PECOS PAC ID: 7113283995 Enrollment ID: I20200310001550 |
Provider Name | Karen Gauvin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619492923 PECOS PAC ID: 8527498609 Enrollment ID: I20200414002341 |
Provider Name | Ellen M Fahey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831219294 PECOS PAC ID: 8123272044 Enrollment ID: I20210811002702 |
Provider Name | James Aram |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417954058 PECOS PAC ID: 7214006147 Enrollment ID: I20230320001188 |
Provider Name | Jeanne Shumrak |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1932471604 PECOS PAC ID: 4789040809 Enrollment ID: I20230516002162 |
Provider Name | Alexandra Mccall |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467098376 PECOS PAC ID: 6002276839 Enrollment ID: I20230712001698 |