Healthcare Provider Details

I. General information

NPI: 1013970219
Provider Name (Legal Business Name): HOSPITAL AUTHORITY OF NORFOLK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 KEMPSVILLE RD
NORFOLK VA
23502-2205
US

IV. Provider business mailing address

1309 KEMPSVILLE RD
NORFOLK VA
23502-2205
US

V. Phone/Fax

Practice location:
  • Phone: 757-461-5001
  • Fax: 757-461-4282
Mailing address:
  • Phone: 757-461-5001
  • Fax: 757-461-4282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License NumberH1865
License Number StateVA

VIII. Authorized Official

Name: MR. THOMAS J ORSINI
Title or Position: PRESIDENT & CEO
Credential: NHA
Phone: 757-461-5001