Martha'S Vineyard Hospital, Inc.

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Oak Bluffs, MA

NPI 1811075211 · NPPES record last updated Jan 12, 2026

Key facts

NPI
1811075211
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
License
2042 (MA)
Legal business name
MARTHA'S VINEYARD HOSPITAL, INC.
Practice address
1 Hospital Rd
Oak Bluffs, MA 02557
Phone
(508) 639-0410
Fax
(508) 696-8516
NPI assigned
Nov 2, 2006
Organization subpart
No

Authorized official

Name
Vincent T McDermott
Title
SVP, Chief Financial Officer
Phone
(617) 243-6381

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 150

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 150

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070104000221 MA Part a Provider - End-Stage Renal Disease Facility (ESRD) 9931166113 Practice locations: Oak Bluffs, MA

National Provider Directory

Tax ID family
Marthas Vineyard Hospital (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 2042 MA Yes

Addresses

Primary practice location

1 Hospital Rd
Oak Bluffs, MA 02557

Mailing address

PO Box 1477
Oak Bluffs, MA 02557-1477
Phone (508) 639-0410

Other providers in Oak Bluffs, MA

All providers in Oak Bluffs, MA · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Massachusetts

Sources for this page

Verify at the official NPI Registry.