Organization
MARYVIEW HOSPITAL LLC
Active
Parent organization
MARYVIEW HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYVIEW HOSPITAL
Authorized official
KIMBERLY RALSTON (SYSTEM DIRECTOR)
(419) 996-5119
Entity
Organization
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-4160
(757) 393-1437
Mailing address
PO BOX 639898, CINCINNATI, OH 45263-9898
(513) 952-5002
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
H 1830
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4930100
—
VA
Enumeration date
08/09/2006
Last updated
10/22/2020
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