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Organization
MARYVIEW HOSPITAL
Active
Organization
MARYVIEW HOSPITAL
Active
Other names
Bon Secours Health Center at Harbour View
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG A SIMIA (VP / CFO)
(757) 673-5928
Entity
Organization
Contact information
Practice address
5818 HARBOUR VIEW BLVD, SUFFOLK, VA 23435-3315
(757) 673-5800
(757) 673-5868
Mailing address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2200
(757) 398-2359
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
H 1830
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227100
ANTHEM OTHER
VA
01
—
307891
ANTHEM ED
VA
Enumeration date
12/31/2008
Last updated
12/31/2008
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