Eastern State Hospital

NPI 1093047797 - Psychiatric Hospital - 283Q00000X

NPI Details
NPI 1093047797
Enumeration Date 02/04/2010
Last Updated 02/04/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JOHN M JOHN
Position HOSPITAL DIRECTOR
Phone (757) 253-4309
Fax (757) 253-4625
Practice Location
4601 IRONBOUND RD
WILLIAMSBURG VA, 23188-2648, US
Phone (757) 253-4309
Fax (757) 253-4625
Business Location
4601 IRONBOUND RD
WILLIAMSBURG VA, 23188-2648, US
Phone (757) 253-4309
Fax (757) 253-4625
Toxanomy
Taxonomy Code 283Q00000X
License State Virginia
License Number 0101049272
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According to our database, Eastern State Hospital NPI is 1093047797, taxonomy code is 283Q00000X and license number is 0101049272, license state is located at Virginia. Eastern State Hospital physically located at 4601 Ironbound Rd, Williamsburg VA, 23188-2648. NPI Number 1033115704 has the healthcare provider type.

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1093047797 NPI number is provided on an as is basis without warranty of any kind. 1093047797 is maintained by the National Plan & Provider Enumeration System. The contents of Eastern State Hospital are for informational purposes only.