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CAH221300-00 MARTHA'S VINEYARD HOSPITAL (Active)
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Main Details
Name
MARTHA'S VINEYARD HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH221300-00
Medicare Provider Number
221300
Additional Details
Current Program Status
Active
Registration Date
9/2/2010
Participating Start Date
9/24/2010
Participating Approval Date
9/2/2010
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Martha's Vineyard Hospital
Claire Seguin, CNO/COO
(508) 957-9551
Primary Contact
Massachusetts General Hospital
Rafic Nehme, Director, Pharmacy Business & Finance
(617) 726-5125
Addresses
Street Address
1 HOSPITAL ROAD
Oak Bluffs, MA 02557
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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