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COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI NPI 1518064922


NPI Information

NPI: 1518064922
Provider Name: COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI

Doing Business As: EASTERN STATE HOSPITAL

Classification: Hospitalist - 208M00000X
Entity Type: Organization
Address:
4601 IRONBOUND RD
WILLIAMSBURG, VA
ZIP 23188
Phone: (757) 253-5241
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COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI is a hospitalist in Williamsburg, VA. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI NPI is 1518064922. The provider is registered as an organization entity type and is a multi-specialty group.
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 9/20/2006 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
1208M00000XHospitalistYes

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
1CO2262MEDICARE 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

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