Healthcare Provider Details

I. General information

NPI: 1164544417
Provider Name (Legal Business Name): HILLCREST CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E LITTLE CREEK RD SUITE 235
NORFOLK VA
23518-4136
US

IV. Provider business mailing address

1600 E LITTLE CREEK RD SUITE 235
NORFOLK VA
23518-4136
US

V. Phone/Fax

Practice location:
  • Phone: 757-480-2800
  • Fax: 757-480-2364
Mailing address:
  • Phone: 757-480-2800
  • Fax: 757-480-2364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State

VIII. Authorized Official

Name: SUZETTE CATON
Title or Position: ADMINISTRATOR
Credential:
Phone: 757-480-2800