Provider Demographics
NPI:1962385302
Name:OVERWATCH HEALTH INC
Entity type:Organization
Organization Name:OVERWATCH HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:KAZUO
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKAMURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-372-8456
Mailing Address - Street 1:4 SUNCATCHER LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHITTENDEN
Mailing Address - State:VT
Mailing Address - Zip Code:05701-8876
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4 SUNCATCHER LN
Practice Address - Street 2:
Practice Address - City:SOUTH CHITTENDEN
Practice Address - State:VT
Practice Address - Zip Code:05701-8876
Practice Address - Country:US
Practice Address - Phone:631-372-8456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0404XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Cardiac Facilities