Active NPI
Maryview Hospital
- Oxygen Equipment & Supplies (DME)
- Virginia Beach, VA
National Provider Identifier
1700822723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 0206009280
- Legal business name
- MARYVIEW HOSPITAL
- Practice address
- 184 Business Park Dr
Suite 100
Virginia Beach, VA 23462-6533 - Phone
- (757) 213-7902
- Fax
- (757) 213-7903
- NPI assigned
- Jun 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara G Ballard, MPM
- Title
- Administrator
- Phone
- (757) 213-7900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0207008454 | VA | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0206009280 | VA | Primary |
Addresses
Primary practice location
184 Business Park Dr
Suite 100
Virginia Beach, VA 23462-6533
Mailing address
184 Business Park Dr
Suite 100
Virginia Beach, VA 23462-6533
Phone (757) 213-7902
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010113610 | Medicaid | VA | |
| 171973 | Other | VA | ANTHEM |
Other names 1
- Bon Secours Home Oxygen
National Provider Directory
National Provider Directory- Tax ID family
- Maryview Health Care Ce
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282003200000",
"number": "1700822723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 BUSINESS PARK DR",
"address_2": "SUITE 100",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626533",
"telephone_number": "757-213-7902",
"fax_number": "757-213-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 BUSINESS PARK DR",
"address_2": "SUITE 100",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626533",
"telephone_number": "757-213-7902",
"fax_number": "757-213-7903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYVIEW HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-20",
"last_updated": "2010-08-17",
"status": "A",
"authorized_official_last_name": "BALLARD",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "757-213-7900",
"authorized_official_credential": "MPM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "VA",
"license": "0207008454",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "VA",
"license": "0206009280",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010113610",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "171973",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bon Secours Home Oxygen",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.