Martha'S Vineyard Community Services, Inc.

LBN: Martha'S Vineyard Community Services, Inc.
Martha'S Vineyard Community Services, Inc. is an health care organization with primary practice located at 111 Edgartown Rd , Oak Bluffs MA 02557. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Martha'S Vineyard Community Services, Inc. can be contacted via phone (508) 693-7900, or through Stalgren, Glenn J via phone (508) 693-7900.

Contact Information

Primary practice address
111 Edgartown Rd Oak Bluffs MA 02557
Phone: (508) 693-7900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stalgren, Glenn J M.B.A.
Phone: (508) 693-7900

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2331 Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2331 Massachusetts
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1659387074
LBN Legal business name Martha'S Vineyard Community Services, Inc.
DBA Doing business as
Authorized official Stalgren, Glenn J M.B.A.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2006
Last updated Oct 28th, 2019 - about 7 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 1659387074 NPPES
Massachusetts MEDICAID 1310143
Massachusetts Other M18486
Massachusetts MEDICAID 1301543

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