# MARYVIEW HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BONSECOURS MARYVIEW MEDICAL CENTER
- **Other names:** Bon Secours Maryview Medical Center pro fee
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316313414
- **Legal business name:** BONSECOURS MARYVIEW MEDICAL CENTER
- **Authorized official:** KIMBERLY M RALSTON (VP REIMBURSEMENT)
- **Authorized official phone:** (419) 996-5119

## Contact information

- **Practice address:** 3636 HIGH ST, PORTSMOUTH, VA 23707-3236
- **Practice address phone:** (757) 398-2208
- **Practice address fax:** (757) 398-2004
- **Mailing address:** 8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
- **Mailing address phone:** (804) 627-5462
- **Mailing address fax:** (866) 449-0896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2015
- **Last updated:** 11/04/2024