MEDICARE: VIRGINIA HEALTH SERVICES, 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	314000000X	Skilled Nursing Facility	NH2737	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	245104	OTHER	VA	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831186642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	240 NAT TURNER BLVD S
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606-0020
Country	:	US
Telephone Number	:	757-596-6268
Fax Number	:	757-595-0966

Provider Business Practice Location Address
First Line	:	113 BATTLE RD
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23692-4140
Country	:	US
Telephone Number	:	757-898-1491
Fax Number	:	757-898-1375

Authorized Official
Title or Position	:	CFO
Name	:	MRS. NICOLE LEIGH BOLDY
Credential	:
Telephone Number	:	757-599-7422

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	08/28/2020

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Directions to “VIRGINIA HEALTH SERVICES, INC ” Practice Location

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