Provider Demographics
NPI:1093859779
Name:HEALTH IMPERATIVES INC.
Entity Type:Organization
Organization Name:HEALTH IMPERATIVES INC.
Other - Org Name:MARTHA'S VINEYARD FAMILY PLANNING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SHEREE
Authorized Official - Middle Name:C
Authorized Official - Last Name:MARINILLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-583-3005
Mailing Address - Street 1:942 W CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-5567
Mailing Address - Country:US
Mailing Address - Phone:508-583-3005
Mailing Address - Fax:508-583-9809
Practice Address - Street 1:517 STATE ROAD
Practice Address - Street 2:
Practice Address - City:VINEYARD HAVEN
Practice Address - State:MA
Practice Address - Zip Code:02568-5624
Practice Address - Country:US
Practice Address - Phone:508-693-1208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1600702Medicaid
MA110027857CMedicaid