MARY IMMACULATE HOSPITAL NPI 1003130394

NPI Information

NPI: 1003130394
Provider Name: MARY IMMACULATE HOSPITAL

Doing Business As: CARDIOVASCULAR SPECIALISTS

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
12720 MCMANUS BLVD
SUITE 201
NEWPORT NEWS, VA
ZIP 23602
Phone: (757) 875-5332
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MARY IMMACULATE HOSPITAL is a cardiovascular disease internal medicine in Newport News, VA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MARY IMMACULATE HOSPITAL NPI is 1003130394. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cardiovascular Specialists.

The provider's business location address is:

12720 MCMANUS BLVD
SUITE 201
NEWPORT NEWS, VA
ZIP 23602-414
Phone: (757) 875-5332
Fax: (757) 874-1545

The provider's authorized official is Greg A Simia .
The authorized official title is Cfo and has the following contact phone number (757) 673-5928.

The enumeration date for this NPI number is 3/16/2010 and was last updated on 7/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C10716	MEDICARE PIN	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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