Organization
PENINSULA ASC, LLC
Active
Other names
Coastal Virginia Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M RALSTON (VP REIMBURSEMENT)
(419) 996-5119
Entity
Organization
Contact information
Practice address
580 CITY CENTER BLVD, NEWPORT NEWS, VA 23606-1880
(757) 596-1900
Mailing address
580 CITY CENTER BLVD, NEWPORT NEWS, VA 23606-1880
(757) 596-1900
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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