# MARY IMMACULATE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARY IMMACULATE HOSPITAL
- **Other names:** Bon Secours Occumed Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164685129
- **Legal business name:** MARY IMMACULATE HOSPITAL
- **Authorized official:** GREG A SIMIA (CFO)
- **Authorized official phone:** (757) 673-5928

## Contact information

- **Practice address:** 14703 WARWICK BLVD, SUITE A, NEWPORT NEWS, VA 23608-3611
- **Practice address phone:** (757) 886-6633
- **Practice address fax:** (757) 886-6677
- **Mailing address:** 14703 WARWICK BLVD, SUITE A, NEWPORT NEWS, VA 23608-3611
- **Mailing address phone:** (757) 886-6633
- **Mailing address fax:** (757) 886-6677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/09/2008
- **Last updated:** 07/09/2008