Provider Type Icon

COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI NPI 1346223153


NPI Information

NPI: 1346223153
Provider Name: COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI

Doing Business As: EASTERN STATE HOSPITAL

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
4601 IRONBOUND RD
WILLIAMSBURG, VA
ZIP 23188
Phone: (757) 253-5241
Get Directions

COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI is a psychiatric hospital in Williamsburg, VA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI NPI is 1346223153. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastern State Hospital.

The provider's business location address is:

4601 IRONBOUND RD
WILLIAMSBURG, VA
ZIP 23188-652
Phone: (757) 253-5241
Fax: (757) 253-5065

The provider's authorized official is Jack L Wood .
The authorized official title is Hospital Director and has the following contact phone number (757) 253-5241.

The enumeration date for this NPI number is 11/25/2005 and was last updated on 6/6/2011.


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
1283Q00000XPsychiatric HospitalYes

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
1007814OTHERVIRGINIAANTHEM BC423
2494030MEDICARE OSCAR/CERTIFICATIONVIRGINIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.