NPIMap

Organization Active NPI

Mary Immaculate Hospital

Doing business as Bon Secours Occumed Center

  • Occupational Medicine Clinic/Center
  • Newport News, VA
National Provider Identifier
1164685129
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
MARY IMMACULATE HOSPITAL
Doing business as
Bon Secours Occumed Center
Practice address
14703 Warwick Blvd
Suite a
Newport News, VA 23608-3611
Phone
(757) 886-6633
Fax
(757) 886-6677
NPI assigned
Jul 9, 2008
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MARY IMMACULATE HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Greg A Simia
Title
Cfo
Phone
(757) 673-5928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

14703 Warwick Blvd
Suite a
Newport News, VA 23608-3611

Mailing address

14703 Warwick Blvd
Suite a
Newport News, VA 23608-3611
Phone (757) 886-6633

Other names 1

  • Bon Secours Occumed Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mary Immaculate Hospita4 organizations share this tax ID, including this one
Part of
Mary Immaculate Hospita

Other organizations with this tax ID 3

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

Locations

14703 Warwick Blvd
#A
Newport News, VA 23608
Phone (757) 886-6633

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1164685129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14703 WARWICK BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236083611",
            "telephone_number": "757-886-6633",
            "fax_number": "757-886-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14703 WARWICK BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236083611",
            "telephone_number": "757-886-6633",
            "fax_number": "757-886-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY IMMACULATE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARY IMMACULATE HOSPITAL",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "SIMIA",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "757-673-5928"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Occumed Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.