MEDICARE: CHIPPENHAM & JOHNSTON-WILLIS HOSPITALS, INC.

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	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1205200599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIPPENHAM & JOHNSTON-WILLIS HOSPITALS, INC.

Provider Business Mailing Address
First Line	:	14720 HANCOCK VILLAGE STREET
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832
Country	:	US
Telephone Number	:	804-320-3911
Fax Number	:	804-323-8049

Provider Business Practice Location Address
First Line	:	14720 HANCOCK VILLAGE STREET
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832
Country	:	US
Telephone Number	:	804-320-3911
Fax Number	:	804-323-8049

Authorized Official
Title or Position	:	CFO
Name	:	DUSTIN FOSNESS
Credential	:
Telephone Number	:	804-483-0813

Provider Enumeration Date	:	11/24/2015
Last Update Date	:	05/06/2026

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