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MARY IMMACULATE HOSPITAL NPI 1164685129


NPI Information

NPI: 1164685129
Provider Name: MARY IMMACULATE HOSPITAL

Doing Business As: BON SECOURS OCCUMED CENTER

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 49D0230073

Address:
14703 WARWICK BLVD
SUITE A
NEWPORT NEWS, VA
ZIP 23608
Phone: (757) 886-6633
Get Directions

MARY IMMACULATE HOSPITAL is an occupational medicine clinic center in Newport News, VA. MARY IMMACULATE HOSPITAL NPI is 1164685129. The provider is registered as an organization entity type.
The provider Is Doing Business As Bon Secours Occumed Center.

The provider's business location address is:

14703 WARWICK BLVD
SUITE A
NEWPORT NEWS, VA
ZIP 23608-611
Phone: (757) 886-6633
Fax: (757) 886-6677

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 CLIA number assigned to this NPI record is 49D0230073 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2008 and was last updated on 7/9/2008.


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
1261QX0100XClinic/CenterOccupational MedicineYes

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

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