Organization
MARY IMMACULATE HOSPITAL
Active
Parent organization
MARY IMMACULATE HOSPITAL
Other names
Bon Secours Occumed Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY IMMACULATE HOSPITAL
Authorized official
GREG A SIMIA (CFO)
(757) 673-5928
Entity
Organization
Contact information
Practice address
14703 WARWICK BLVD, SUITE A, NEWPORT NEWS, VA 23608-3611
(757) 886-6633
(757) 886-6677
Mailing address
14703 WARWICK BLVD, SUITE A, NEWPORT NEWS, VA 23608-3611
(757) 886-6633
(757) 886-6677
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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