Organization
RIVERSIDE HOSPITAL, INC
Active
Parent organization
RIVERSIDE HOSPITAL, INC
Other names
Riverside Cancer Infusion Center-Newport News
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE HOSPITAL, INC
Authorized official
MR. WALTER W AUSTIN JR. (CFO)
(757) 875-7545
Entity
Organization
Contact information
Practice address
12100 WARWICK BLVD, SUITE 210B, NEWPORT NEWS, VA 23601-2365
(757) 534-5555
Mailing address
608 DENBIGH BOULEVARD, SUITE 800, NEWPORT NEWS, VA 23608-4487
(757) 875-7545
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H1887
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4900529
—
VA
Enumeration date
11/17/2014
Last updated
01/22/2021
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