Organization
NANTUCKET COTTAGE HOSPITAL
Active
Parent organization
NANTUCKET COTTAGE HOSPITAL
Other names
Nantucket Cottage Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
NANTUCKET COTTAGE HOSPITAL
Authorized official
MS. NANCY SUE PITTMAN (DIRECTOR OF CONTRACTING/COMPLIANCE)
(508) 825-8203
Entity
Organization
Contact information
Practice address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(508) 825-8100
Mailing address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(508) 825-8100
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026734D
—
MA
Enumeration date
11/06/2018
Last updated
06/01/2020
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