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MARY IMMACULATE HOSPITAL NPI 1194267229


NPI Information

NPI: 1194267229
Provider Name: MARY IMMACULATE HOSPITAL

Doing Business As: DBA BON SECOURS PALLIATIVE MEDICINE

Classification: Obstetrics & Gynecology - 207VH0002X
Entity Type: Organization

Specialization: Hospice and Palliative Medicine

Address:
12720 MCMANUS BLVD
SUITE 301
NEWPORT NEWS, VA
ZIP 23602
Phone: (757) 947-3838
Get Directions

MARY IMMACULATE HOSPITAL is a hospice and palliative medicine obstetrics gynecology in Newport News, VA. The provider is an obstetrician/gynecologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. MARY IMMACULATE HOSPITAL NPI is 1194267229. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dba Bon Secours Palliative Medicine.

The provider's business location address is:

12720 MCMANUS BLVD
SUITE 301
NEWPORT NEWS, VA
ZIP 23602-414
Phone: (757) 947-3838
Fax: (757) 327-4280

The provider's authorized official is Karen Smith .
The authorized official title is Credentialing Specialist and has the following contact phone number (757) 215-2784.

The enumeration date for this NPI number is 11/7/2016 and was last updated on 11/7/2016.


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
1207VH0002XObstetrics & GynecologyHospice and Palliative MedicineYes

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
1C10716MEDICARE PINVIRGINIA

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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