1598708513 NPI number — CHIPPENHAM & JOHNSTON-WILLIS HOSPITALS INC

Table of content: (NPI 1598708513)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598708513 NPI number — CHIPPENHAM & JOHNSTON-WILLIS HOSPITALS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHIPPENHAM & JOHNSTON-WILLIS HOSPITALS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CJW MEDICAL CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598708513
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/23/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7101 JAHNKE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23225-4017
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-320-3911
Provider Business Mailing Address Fax Number:
804-323-8049

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7102 JAHNKE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23225-4018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-320-3911
Provider Business Practice Location Address Fax Number:
804-323-8049
Provider Enumeration Date:
06/14/2006

Additional Information

Authorized Official

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

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000448214X , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0444264 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 150249500 . This is a "DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 161195105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: HOS0112N , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 032025600 . This is a "BLACK LUNG" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0716167 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1010239 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 161195101 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 333302 . This is a "MAMSI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 339008 . This is a "NCPPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00618319 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1212419 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 178250001 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4223802 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 004901126 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 037814300 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 339008 . This is a "NC PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 50988600031 . This is a "QUALCHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 261090 . This is a "WELLPOINT" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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