Healthcare Provider Details

I. General information

NPI: 1326293028
Provider Name (Legal Business Name): HUNTER HOLMES MCGUIRE MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2008
Last Update Date: 11/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 RUTHERS ROAD SUITE 103
RICHMOND VA
23235
US

IV. Provider business mailing address

PSC 557 BOX 104
FPO AP
96379-0379
US

V. Phone/Fax

Practice location:
  • Phone: 804-320-1113
  • Fax:
Mailing address:
  • Phone: 757-271-6226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2865M2000X
TaxonomyMilitary General Acute Care Hospital
License Number0001070450
License Number StateVA

VIII. Authorized Official

Name: SUSAN WATTERS
Title or Position: HUMAN RESOURCES
Credential:
Phone: 804-675-6533