Organization · Type 2 NPI

Patrick Henry Hospital, Inc.

Nursing Facility/Intermediate Care Facility · Mathews, VA

NPI number 1255448379 Active

Practice location

603 Main St.
Mathews, VA 23109

Call (804) 725-9443 Map

Fax (804) 725-3184

Mailing address

608 Denbigh Blvd, Suite 600
Newport News, VA 23608-4410

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility Primary	313M00000X	49E215 (VA)
Skilled Nursing Facility	314000000X	None listed
Nursing Facility Supplies (DME)	332BN1400X	49E215 (VA)
Parenteral & Enteral Nutrition Supplies (DME)	332BP3500X	49E215 (VA)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

NPI record

NPI: 1255448379
Entity type: Organization (Type 2)
Issued: Aug 24, 2006
Last updated: Nov 30, 2021
Status: Active

Other names

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Riverside Convalescent Center, Mathews · doing business as
Riverside Convalescent Center, Mathews · doing business as

Authorized official

Mr. Walter W Austin
CFO
(757) 875-7846

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255448379

Patrick Henry Hospital, Inc.'s National Provider Identifier is 1255448379, issued on Aug 24, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Mathews, VA. The record was last updated on Nov 30, 2021.