MEDICARE: HILLCREST CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0005X	Ambulatory Family Planning Facility

General Provider Information

NPI Number	:	1164544417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILLCREST CLINIC

Provider Business Mailing Address
First Line	:	1600 E LITTLE CREEK RD
Second Line	:	SUITE 235
City	:	NORFOLK
State	:	VA
Zip	:	23518-4136
Country	:	US
Telephone Number	:	757-480-2800
Fax Number	:	757-480-2364

Provider Business Practice Location Address
First Line	:	1600 E LITTLE CREEK RD
Second Line	:	SUITE 235
City	:	NORFOLK
State	:	VA
Zip	:	23518-4136
Country	:	US
Telephone Number	:	757-480-2800
Fax Number	:	757-480-2364

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SUZETTE CATON
Credential	:
Telephone Number	:	757-480-2800

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	08/22/2020

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Directions to “HILLCREST CLINIC ” Practice Location

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