NPIMap

Organization Active NPI

Maryview Hospital

  • Urgent Care Clinic/Center
  • Portsmouth, VA
National Provider Identifier
1942230958
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MARYVIEW HOSPITAL
Doing business as
Bon Secours MedCare Churchland
Practice address
5615 High St W # a
Portsmouth, VA 23703-3758
Phone
(757) 484-5002
Fax
(757) 483-9605
NPI assigned
Jul 4, 2006
Organization subpart
Yes
Parent organization
MARYVIEW HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

5615 High St W # a
Portsmouth, VA 23703-3758

Mailing address

5615 High St W # a
Portsmouth, VA 23703-3758
Phone (757) 484-5002

Other names 1

  • Bon Secours MedCare Churchland Doing business as

National Provider Directory

National Provider Directory
Part of
Maryview Health Care Ce

Locations

5615 High St W
#A
Portsmouth, VA 23703
Phone (757) 484-5002

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1942230958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 HIGH ST W # A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033758",
            "telephone_number": "757-484-5002",
            "fax_number": "757-483-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 HIGH ST W # A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033758",
            "telephone_number": "757-484-5002",
            "fax_number": "757-483-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVIEW HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYVIEW HOSPITAL",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "SIMA",
        "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": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours MedCare Churchland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.