Active NPI
Riverside Hospital Inc
- Land Ambulance
- Newport News, VA
National Provider Identifier
1649509282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1293
- Legal business name
- RIVERSIDE HOSPITAL INC
- Practice address
- 500 J Clyde Morris Blvd
Newport News, VA 23601-1929 - Phone
- (757) 594-3756
- Fax
- (757) 594-2196
- NPI assigned
- Dec 10, 2009
- Organization subpart
- Yes
- Parent organization
- RIVERSIDE HOSPITAL INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wade Dudley Broughman
- Title
- Executive Vice President/Cfo
- Phone
- (757) 875-7543
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1293 | VA | Primary |
Addresses
Primary practice location
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Mailing address
608 Denbigh Blvd
Suite 800
Newport News, VA 23608-4410
Phone (757) 875-7545
Other names 1
- RIVERSIDE PATIENT TRANSPORT
National Provider Directory
National Provider Directory- Part of
- Cynthia Romero MD
Locations
608 Denbigh Blvd
Ste 800
Newport News, VA 23608
Phone (757) 875-7545
608 Denbigh Blvd
Ste 500A
Newport News, VA 23608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260403200000",
"number": "1649509282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 DENBIGH BLVD",
"address_2": "SUITE 800",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236084410",
"telephone_number": "757-875-7545",
"fax_number": "757-875-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 J CLYDE MORRIS BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011929",
"telephone_number": "757-594-3756",
"fax_number": "757-594-2196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE HOSPITAL INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RIVERSIDE HOSPITAL INC",
"enumeration_date": "2009-12-10",
"last_updated": "2009-12-10",
"status": "A",
"authorized_official_last_name": "BROUGHMAN",
"authorized_official_first_name": "WADE",
"authorized_official_middle_name": "DUDLEY",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT/CFO",
"authorized_official_telephone_number": "757-875-7543"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "VA",
"license": "1293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RIVERSIDE PATIENT TRANSPORT",
"code": "5",
"type": "Other Name"
}
]
}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 Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.