PREVENTIVE MEDICINE ASSOC. INC.
NPI 1194949073
Family Medicine - Addiction Medicine in Vineyard Haven, MA

Q: What is Vineyard Healthcare Assoc.'s NPI number?

The NPI number for Vineyard Healthcare Assoc. is 1194949073. It was assigned to this organization in the NPPES registry on April 12, 2007. The provider is also known as Preventive Medicine Assoc. Inc..

Q: What is Vineyard Healthcare Assoc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Active since April 12, 2007

455 STATE RD STE 13, VINEYARD HAVEN, MA 02568(508) 693-3900(508) 693-0444 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Preventive Medicine Assoc. Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREVENTIVE MEDICINE ASSOC. INC. (NPI 1194949073) is a healthcare organization registered as an addiction medicine in Vineyard Haven, Massachusetts and active in the NPI registry since April 2007. The organization lists Cheryl A Church, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1194949073

Entity TypeOrganization

Primary Taxonomy207QA0401X

Legal Business NameVINEYARD HEALTHCARE ASSOC.

Location Address455 STATE RD STE 13Vineyard Haven, MA 02568-5621

Mailing Address59 Temple Pl Ste 662Boston, MA 02111-1307 · (617) 447-2146 · Fax (617) 259-1627

Phone(508) 693-3900

Fax(508) 693-0444

Organization SubpartNo

Authorized OfficialCheryl A ChurchOffice Manager · (617) 447-2146

Enumeration DateApril 12, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1194949073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

455 STATE RD STE 13, Vineyard Haven, MA 02568

Open in Google Maps ↗

Other Names 1

Other NamePreventive Medicine Assoc. Inc.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vineyard Healthcare Assoc.'s NPI number?

The NPI number for Vineyard Healthcare Assoc. is 1194949073. It was assigned to this organization in the NPPES registry on April 12, 2007. The provider is also known as Preventive Medicine Assoc. Inc..

Where is Vineyard Healthcare Assoc. located?

Vineyard Healthcare Assoc. is located at 455 State Rd Ste 13, Vineyard Haven, MA 02568. The listed phone number is (508) 693-3900.

What is Vineyard Healthcare Assoc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Vineyard Healthcare Assoc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.