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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