Organization
COLONIAL BEACH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELL R. HOOVLER (PRESIDENT, CEO)
(540) 657-9633
Entity
Organization
Contact information
Practice address
700 MCKINNEY BLVD, STE. 12, COLONIAL BEACH, VA 22443-1925
(804) 224-6322
(804) 224-2512
Mailing address
PO BOX 99, GARRISONVILLE, VA 22463-0099
(540) 657-9633
(540) 657-5925
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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