Organization
DEPARTMENT OF VETERAN'S AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DUNFEE (MEDICAL CENTER DIRECTOR)
(757) 728-3100
Entity
Organization
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 728-3100
Mailing address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
57278
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57278
NATIONAL COUNCIL FOR THERAPEUTIC RECREATION CERTIFICATION
VA
Enumeration date
06/26/2013
Last updated
06/26/2013
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