Organization
LTACH AT RIVERSIDE, LLC
Active
Other names
Hampton Roads Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DUGGAN JR. (VP)
(717) 972-1100
Entity
Organization
Contact information
Practice address
500 J CLYDE MORRIS BLVD, 4TH FLOOR EAST AND 4TH FLOOR ANNEX, NEWPORT NEWS, VA 23601-1929
(757) 928-8261
(757) 928-8271
Mailing address
4714 GETTYSBURG RD, LEGAL DEPT, MECHANICSBURG, PA 17055-4325
(717) 975-4503
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
H1925
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010246148
—
VA
Enumeration date
05/02/2006
Last updated
09/10/2025
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