MEDICARE: RIVERSIDE MIDDLE PENINSULA HOSPITAL 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	251G00000X	Community Based Hospice Care Agency	491530	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598760498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERSIDE MIDDLE PENINSULA HOSPITAL INC

Provider Business Mailing Address
First Line	:	608 DENBIGH BLVD STE 800
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23608-4487
Country	:	US
Telephone Number	:	757-875-7545
Fax Number	:	757-875-7553

Provider Business Practice Location Address
First Line	:	7358 MAIN ST
Second Line	:
City	:	GLOUCESTER
State	:	VA
Zip	:	23061-5130
Country	:	US
Telephone Number	:	804-693-1111
Fax Number	:	804-210-1449

Authorized Official
Title or Position	:	SR VP/CFO
Name	:	MR. WALTER W AUSTIN JR.
Credential	:
Telephone Number	:	757-875-7545

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	08/12/2021

Similar Medicare Providers

1952118028 — MRS. LESLIE MONA PARRISH
Practice Location Address:

7358 MAIN ST
GLOUCESTER, VA
23061-5130

Practice Phone: 804-650-0787
Practice Fax:

1104085281 — DR. ROBERT DAVID LIPKOWITZ DDS
Practice Location Address:

2 MAGNOLIA AVE
GLOUCESTER, MA
01930-5130

Practice Phone: 978-525-3792
Practice Fax: 978-525-3162

1689531220 — APRIL S MARTINEZ LPC
Practice Location Address:

9228 GEORGE WASHINGTON MEMORIAL HWY
GLOUCESTER, VA
23061-4162

Practice Phone: 804-695-8120
Practice Fax: 804-695-8122

1457218984 — CHILDRENS PHYSICIAN GROUP INC
Practice Location Address:

8264 GEORGE WASHINGTON MEMORIAL HWY
GLOUCESTER, VA
23061-4127

Practice Phone: 804-695-0305
Practice Fax:

1285342329 — SHANNON M ELROD NP
Practice Location Address:

7547 MEDICAL DR STE 1300
GLOUCESTER, VA
23061-4388

Practice Phone: 804-695-8550
Practice Fax: 804-695-8554

1396748182 — DR. DAVID W MUFFELMAN M.D.
Practice Location Address:

6790 WOOD RIDGE DRIVE
GLOUCESTER, VA
23061

Practice Phone: 804-693-6527
Practice Fax: 804-693-6615

Directions to “RIVERSIDE MIDDLE PENINSULA HOSPITAL INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.