Organization
RIVERSIDE HOSPITAL INC
Active
Other names
Riverside Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER W AUSTIN (SR VP/CFO)
(757) 875-7545
Entity
Organization
Contact information
Practice address
856 J CLYDE MORRIS BLVD, STE C, NEWPORT NEWS, VA 23601-1318
(757) 594-4600
(757) 594-3386
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
251E00000X
Home Health Agency
Primary
497467A
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4972627
—
VA
Enumeration date
06/15/2005
Last updated
08/12/2021
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