Organization
MARYVIEW HOSPITAL, LLC
Active
Other names
BON SECOURS HOSPICE
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M RALSTON (VP REIMBURSEMENT)
(419) 996-5119
Entity
Organization
Contact information
Practice address
7007 HARBOUR VIEW BLVD STE 114, SUFFOLK, VA 23435-3657
(757) 391-6017
(757) 397-6457
Mailing address
PO BOX 639898, CINCINNATI, OH 45263-9898
(513) 952-5002
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0405-15
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004915038
—
VA
Enumeration date
06/09/2005
Last updated
09/20/2023
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