Organization
MARY IMMACULATE HOSPITAL
Active
Organization
MARY IMMACULATE HOSPITAL
Active
Parent organization
MARY IMMACULATE HOSPITAL
Other names
Bon Secours Pulmonary Specialists @ MIH
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY IMMACULATE HOSPITAL
Authorized official
MICHAEL K KERNER (CEO)
(757) 673-5929
Entity
Organization
Contact information
Practice address
12720 MCMANUS BLVD, SUITE 303, NEWPORT NEWS, VA 23602-4414
(757) 947-3600
(757) 947-3603
Mailing address
12720 MCMANUS BLVD, SUITE 303, NEWPORT NEWS, VA 23602-4414
(757) 947-3600
(757) 947-3603
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
09/29/2011
Last updated
02/01/2012
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