| Riverside Hospital Inc | |
|
2244 Executive Dr Hampton VA 23666-2430 | |
| (757) 827-1001 | |
| (757) 827-3128 |
| Full Name | Riverside Hospital Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2244 Executive Dr, Hampton, Virginia |
| Authorized Official Name and Position | Braden Miller (CFO) |
| Authorized Official Contact | 7573165800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Hospital Inc 856 J Clyde Morris Blvd Ste A Newport News VA 23601-1318 Ph: (757) 316-5800 | Riverside Hospital Inc 2244 Executive Dr Hampton VA 23666-2430 Ph: (757) 827-1001 |
| NPI Number | 1053894386 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 09/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053894386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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