# MARYVIEW HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARYVIEW HOSPITAL LLC
- **Other names:** Bon Secours Western Branch Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699705699
- **Legal business name:** MARYVIEW HOSPITAL LLC
- **Authorized official:** WILBUR GAY (CFO)
- **Authorized official phone:** (864) 561-7672

## Contact information

- **Practice address:** 2613 TAYLOR RD STE 201, CHESAPEAKE, VA 23321-2205
- **Practice address phone:** (757) 738-1600
- **Practice address fax:** (757) 465-8616
- **Mailing address:** 8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
- **Mailing address fax:** (866) 449-0896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 09/24/2020