# RIVERSIDE MIDDLE PENINSULA HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverside Walter Reed Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528162534
- **Authorized official:** WALTER W AUSTIN JR. (SENIOR VICE PRESIDENT/CFO)
- **Authorized official phone:** (757) 875-7545

## Contact information

- **Practice address:** 7519 HOSPITAL DR, GLOUCESTER, VA 23061
- **Practice address phone:** (804) 693-8800
- **Practice address fax:** (804) 693-8812
- **Mailing address:** 608 DENBIGH BLVD STE 800, NEWPORT NEWS, VA 23608-4487
- **Mailing address phone:** (757) 875-7545
- **Mailing address fax:** (757) 875-7553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | H1890 | VA | Yes |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 05/04/2021