Healthcare Provider Details

I. General information

NPI: 1750714440
Provider Name (Legal Business Name): STAFFORD HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2013
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 HOSPITAL CENTER BLVD
STAFFORD VA
22554
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 540-741-9000
  • Fax:
Mailing address:
  • Phone: 540-741-1821
  • Fax: 540-741-1097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

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