Organization
RIVERSIDE MIDDLE PENINSULA HOSPITAL INC
Active
Organization
RIVERSIDE MIDDLE PENINSULA HOSPITAL INC
Active
Other names
Riverside Walter Reed 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
7358 MAIN ST, GLOUCESTER, VA 23061-5130
(804) 693-1111
(804) 210-1449
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
491530
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4910214
—
VA
Enumeration date
06/16/2005
Last updated
08/12/2021
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