Provider Demographics
NPI:1932681319
Name:ISLAND HEALTH LLC
Entity Type:Organization
Organization Name:ISLAND HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BORSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-250-6394
Mailing Address - Street 1:725 COOL SPRINGS BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2702
Mailing Address - Country:US
Mailing Address - Phone:888-250-6394
Mailing Address - Fax:
Practice Address - Street 1:725 COOL SPRINGS BLVD STE 600
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2702
Practice Address - Country:US
Practice Address - Phone:888-250-6394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-03
Last Update Date:2018-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies