Healthcare Provider Details

I. General information

NPI: 1942288527
Provider Name (Legal Business Name): MARY WASHINGTON HOSPITAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 SAM PERRY BLVD
FREDERICKSBURG VA
22401-4453
US

IV. Provider business mailing address

2300 FALL HILL AVE SUITE 509
FREDERICKSBURG VA
22401-3342
US

V. Phone/Fax

Practice location:
  • Phone: 540-741-1100
  • Fax:
Mailing address:
  • Phone: 540-741-2277
  • Fax: 540-741-1097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberH1874
License Number StateVA

VIII. Authorized Official

Name: CHRISTOPHER D NEWMAN
Title or Position: CEO
Credential:
Phone: 540-741-3248