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NPI Code Detail

MEDICARE: MARY WASHINGTON HOSPITAL INC.

MEDICARE: MARY WASHINGTON 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
1282N00000XGeneral Acute Care HospitalH1874VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16560235OTHERVAAETNA
2148675200OTHERVADEPARTMENT OF LABOR
3000023OTHERVAANTHEM BC
40564123-038OTHERVACIGNA
5HG2OTHERVACAREFIRST BC
6234771OTHERVAUNITED HEALTHCARE HMO, ONENET, MDIPA, OPTIMUM CHOICE
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942288527
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARY WASHINGTON HOSPITAL INC.
Provider Business Mailing Address
First Line : 1340 CENTRAL PARK BLVD STE 207
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401-4941
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1001 SAM PERRY BLVD
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401-4453
Country : US
Telephone Number : 540-741-1100
Fax Number :
Authorized Official
Title or Position : CEO
Name : CHRISTOPHER D NEWMAN
Credential :
Telephone Number : 540-741-3248
Provider Enumeration Date : 01/04/2006
Last Update Date : 02/03/2026

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