Organization
PATRICK HENRY HOSPITAL, INC.
Active
Other names
Riverside Convalescent Center, Mathews
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER W AUSTIN (CFO)
(757) 875-7846
Entity
Organization
Contact information
Practice address
603 MAIN ST., MATHEWS, VA 23109
(804) 725-9443
(804) 725-3184
Mailing address
608 DENBIGH BLVD, SUITE 600, NEWPORT NEWS, VA 23608-4410
(757) 875-2023
(757) 875-2016
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
49E215
VA
314000000X
Skilled Nursing Facility
—
—
332BN1400X
Nursing Facility Supplies (DME)
49E215
VA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
49E215
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004967348
—
VA
01
—
495429
MEDICARE
—
Enumeration date
08/24/2006
Last updated
11/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us