# RIVERSIDE TAPPAHANNOCK HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverside Tappahannock Hosp HHA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235134123
- **Authorized official:** MRS. VICKIE MORGAN RN (DIRECTOR OF HOME HEALTH)
- **Authorized official phone:** (757) 594-4600

## Contact information

- **Practice address:** 856 J CLYDE MORRIS BLVD, SUITE C, NEWPORT NEWS, VA 23601-1318
- **Practice address phone:** (804) 443-6276
- **Practice address fax:** (804) 443-6275
- **Mailing address:** PO BOX 120014, NEWPORT NEWS, VA 23612-0014
- **Mailing address phone:** (757) 594-4600
- **Mailing address fax:** (757) 594-3386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 497025B | VA | Yes |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 08/01/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4970250 | — | VA |