MEDICARE: HAMPTON VALLEY HEALTH CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	CHIR008291	GA

General Provider Information

NPI Number	:	1720318595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMPTON VALLEY HEALTH CENTER, INC.

Provider Business Mailing Address
First Line	:	4 MARKET PLACE DR STE 204
Second Line	:
City	:	YORK
State	:	ME
Zip	:	03909-1699
Country	:	US
Telephone Number	:	561-386-5438
Fax Number	:	866-448-6818

Provider Business Practice Location Address
First Line	:	4 MARKET PLACE DR STE 204
Second Line	:
City	:	YORK
State	:	ME
Zip	:	03909-1699
Country	:	US
Telephone Number	:	561-386-5438
Fax Number	:	866-448-6818

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSEPH MARFISI
Credential	:	D.C.
Telephone Number	:	561-386-5438

Provider Enumeration Date	:	12/30/2009
Last Update Date	:	12/21/2020

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