Organization
RIVERSIDE MIDDLE PENINSULA HOSPITAL INC
Active
Other names
Riverside Walter Reed Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER W AUSTIN JR. (SENIOR VICE PRESIDENT/CFO)
(757) 875-7545
Entity
Organization
Contact information
Practice address
7519 HOSPITAL DR, GLOUCESTER, VA 23061
(804) 693-8800
(804) 693-8812
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
282N00000X
General Acute Care Hospital
Primary
H1890
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4901304
—
VA
Enumeration date
09/11/2006
Last updated
05/04/2021
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