Active NPI
Maryview Hospital LLC
- General Acute Care Hospital
- Portsmouth, VA
National Provider Identifier
1316313414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- MARYVIEW HOSPITAL LLC
- Practice address
- 3636 High St
Portsmouth, VA 23707-3236 - Phone
- (757) 398-2208
- Fax
- (757) 398-2004
- NPI assigned
- Aug 12, 2015
- Organization subpart
- Yes
- Parent organization
- BONSECOURS MARYVIEW MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly M Ralston
- Title
- VP Reimbursement
- Phone
- (419) 996-5119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
3636 High St
Portsmouth, VA 23707-3236
Mailing address
8580 Magellan Pkwy
Richmond, VA 23227-1149
Phone (804) 627-5462
Other names 1
- Bon Secours Maryview Medical Center pro fee
National Provider Directory
National Provider Directory- Part of
- Maryview Health Care Ce
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1316313414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8580 MAGELLAN PKWY",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232271149",
"telephone_number": "804-627-5462",
"fax_number": "866-449-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 HIGH ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073236",
"telephone_number": "757-398-2208",
"fax_number": "757-398-2004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYVIEW HOSPITAL LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BONSECOURS MARYVIEW MEDICAL CENTER",
"enumeration_date": "2015-08-12",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "RALSTON",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VP REIMBURSEMENT",
"authorized_official_telephone_number": "419-996-5119"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bon Secours Maryview Medical Center pro fee",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Bon Secours Maryview Medical Center pro fee",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Portsmouth, VA
- Maryview Hospital (Bon Secours Internal Medicine of Portsmouth)
- Maryview Hospital (Bon Secours Neuroscience Center for Pain Management)
- Maryview Hospital (Bon Secours Old Towne Primary Care)
- Maryview Hospital (Portsmouth Medical Associates)
- Maryview Hospital (Bon Secours MedCare Churchland)
- Maryview Hospital LLC (Bon Secours Neuroscience Center)
- Maryview Hospital LLC (Bon Secours Maryview Medical Center)
- Maryview Hospital LLC
- Maryview Outpatient Pharmacy (Harness Health Pharmacy #510)
- Lucretia Mason-Underdue, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.