NPIMap

Organization Active NPI

Maryview Hospital

Doing business as Bon Secours Health Center at Harbour View

  • 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
Doing business as
Bon Secours Health Center at Harbour View
Practice address
5818 Harbour View Blvd
Suffolk, VA 23435-3315
Phone
(757) 673-5800
Fax
(757) 673-5868
NPI assigned
Dec 31, 2008
Last updated
Dec 31, 2008By the provider in NPPES
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 names 1

  • Bon Secours Health Center at Harbour View Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bon Secours Medcare11 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

3325 Taylor Rd
Ste 107
Chesapeake, VA 23321
Phone (757) 686-3500

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": [],
    "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.