Organization
RIVERSIDE HOSPITAL INC
Active
Organization
RIVERSIDE HOSPITAL INC
Active
Other names
Riverside Hospice-Smithfield, Riverside Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER W AUSTIN JR. (SR VP/CFO)
(757) 875-7545
Entity
Organization
Contact information
Practice address
12420 WARWICK BLVD STE 6E, NEWPORT NEWS, VA 23606-3054
(757) 594-2745
(757) 594-3227
Mailing address
608 DENBIGH BLVD STE 800, NEWPORT NEWS, VA 23608-4487
(757) 875-7545
(757) 875-7553
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
491509
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4910168
—
VA
Enumeration date
07/01/2005
Last updated
12/28/2023
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