| Maryview Hospital Llc | |
|
2613 Taylor Rd Ste 201 Chesapeake VA 23321-2205 | |
| (757) 738-1600 | |
| (757) 465-8616 |
| Full Name | Maryview Hospital Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2613 Taylor Rd Ste 201, Chesapeake, Virginia |
| Authorized Official Name and Position | Wilbur Gay (CFO) |
| Authorized Official Contact | 8645617672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryview Hospital Llc 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: () - | Maryview Hospital Llc 2613 Taylor Rd Ste 201 Chesapeake VA 23321-2205 Ph: (757) 738-1600 |
| NPI Number | 1699705699 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 09/24/2020 |
| Medicare PECOS PAC ID | 5799685632 |
|---|---|
| Medicare Enrollment ID | O20181022001300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699705699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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