NPIMap

Organization Active NPI

Maryview Hospital

  • Ambulatory Surgical Clinic/Center
  • Suffolk, VA
National Provider Identifier
1053557793
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
H 1830 Issued in VA
Legal business name
MARYVIEW HOSPITAL
Practice address
5818 Harbour View Blvd
Suffolk, VA 23435-3315
Phone
(757) 673-5800
Fax
(757) 673-5868
NPI assigned
Dec 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Greg A Simia
Title
VP / Cfo
Phone
(757) 673-5928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X H 1830 VA Primary

Addresses

Primary practice location

5818 Harbour View Blvd
Suffolk, VA 23435-3315

Mailing address

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2200

Other identifiers 2

IdentifierTypeStateIssuer
307891OtherVAANTHEM ED
227100OtherVAANTHEM OTHER

Other names 1

  • Bon Secours Health Center at Harbour View Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maryview Health Care Ce11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4020 Raintree Rd
Ste B
Chesapeake, VA 23321
Phone (757) 465-8450

2605 Moses Grandy Trl
Ste D
Chesapeake, VA 23323
Phone (757) 485-3600

5818 Harbour View Blvd
Ste B2
Suffolk, VA 23435
Phone (757) 541-1110

5818 Harbour View Blvd
Ste 102
Suffolk, VA 23435
Phone (757) 215-3565

5818 Harbour View Blvd
Suffolk, VA 23435
Phone (757) 673-5800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1053557793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073236",
            "telephone_number": "757-398-2200",
            "fax_number": "757-398-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 HARBOUR VIEW BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353315",
            "telephone_number": "757-673-5800",
            "fax_number": "757-673-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVIEW HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-31",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "SIMIA",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP / CFO",
        "authorized_official_telephone_number": "757-673-5928",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "VA",
            "license": "H 1830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ED",
            "identifier": "307891",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OTHER",
            "identifier": "227100",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Health Center at Harbour View",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.