COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI (NPI# 1205936614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205936614 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI |
| Other Organization Name | EASTERN STATE HOSPITAL |
| Practice Address |
4601 Ironbound Rd Williamsburg VA 23188-2652 |
| Practice Telephone | 7572535241 |
| Practice Fax Number | 7572535065 |
| Mailing Telephone | 7572535241 |
| Mailing Fax Number | 7572535065 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2011-06-06 |
| Authorized Official Name | MR. JACK L. WOOD (HOSPITAL DIRECTOR) |
| Authorized Official Telephone | 7572535241 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004901096 | 05 | |
| VA | ANTHEM BC 423 | 007814 | 01 |
| Other Name | Type Code |
|---|---|
| Eastern State Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114027521 | Commonwealth of Virginia Department of Behavi | Intermediate Care Facility, Mental Illness | 4601 Ironbound Rd, Williamsburg, VA 23188-2652 | 2006-09-25 |
| 1023118437 | Commonwealth of Virginia Department of Behavi | Assisted Living Facility | 4601 Ironbound Rd, Williamsburg, VA 23188-2652 | 2006-09-25 |
| 1518064922 | Commonwealth of Virginia Department of Behavi | Hospitalist | 4601 Ironbound Rd, Williamsburg, VA 23188-2652 | 2006-09-20 |
| 1346223153 | Commonwealth of Virginia Department of Behavi | Psychiatric Hospital | 4601 Ironbound Rd, Williamsburg, VA 23188-2652 | 2005-11-25 |
| Street Address |
4601 IRONBOUND RD |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861490344 | Eastern State Hospital | Pharmacy | 4601 Ironbound Rd, Pharmacy Box 8791, Williamsburg, VA 23188-2648 | 2005-07-08 |
| 1417578428 | Hannah Olson | Occupational Therapist | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2020-04-30 |
| 1366079113 | Hali Griswold | Psychologist | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2020-03-23 |
| 1851933147 | Gia Davila | Social Worker | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2019-10-08 |
| 1083263768 | Brittany Bak | Psychologist | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2019-09-05 |
| 1457913964 | Kojo Sarfo | Nurse Practitioner | 4601 Ironbound Rd, Williamsburg, VA 23188 | 2019-07-03 |
| 1982269841 | Carmen Kristina Ramos | Physical Therapy Assistant | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2019-05-07 |
| 1730744087 | Victoria Taylor-bowman | Occupational Therapy Assistant | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2019-05-02 |
| 1568959831 | William Menton | Student in an Organized Health Care Education/Training Program | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2018-04-22 |
| 1619474103 | Jeremy Matthew Schreiber | Student in an Organized Health Care Education/Training Program | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2018-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1275893307 | Doctors' Hospital of Williamsburg | General Acute Care Hospital | 1500 Commonwealth Avenue, Williamsburg, VA 23185 | 2012-05-23 |
| 1952707002 | Riverside Hospital, Inc | General Acute Care Hospital | 120 Kings Way, Suite 3100a, Williamsburg, VA 23185-2505 | 2014-11-17 |
| 1437100765 | Upmc Altoona | General Acute Care Hospital | 306 Plum St, Williamsburg, PA 16693-1116 | 2006-05-12 |
| 1619938149 | Sentara Hospitals | General Acute Care Hospital | 100 Sentara Cir, Williamsburg, VA 23188-5713 | 2006-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669445 | Virginia Hospital Center Arlington Health System | General Acute Care Hospital | 8100 Boone Blvd Ste 140, Vienna, VA 22182-2665 | 2018-02-16 |
| 1871020651 | Virginia Internal Medicine Specialists LLC | General Acute Care Hospital | 44790 Maynard Sq Ste 320, Ashburn, VA 20147-6514 | 2017-05-11 |
| 1730615816 | Sentara Healthcare | General Acute Care Hospital | 100 Ireland St, Hampton, VA 23663-2150 | 2017-05-10 |
| 1528592573 | New York Presbyterian Hospital-weill Cornell | General Acute Care Hospital | 9644 Sutton Green Ct, Vienna, VA 22181-6105 | 2017-04-17 |
| 1386181733 | Lyle Purnell | General Acute Care Hospital | 100 Emancipation Dr Bldg 146, Hampton, VA 23667-0001 | 2017-01-24 |
| 1700233855 | Debra Hafer | General Acute Care Hospital | 33290 Chincoteague Rd, Wallops Island, VA 23337-2204 | 2016-05-18 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1700248796 | Hq Surgical | General Acute Care Hospital | 905 Hathaway Ct, Chesapeake, VA 23322-7622 | 2016-03-28 |
| 1710355649 | Johnston Memorial Hospital, Inc | General Acute Care Hospital | 3175 Linden Dr Ste 3-5, Bristol, VA 24202-5849 | 2015-09-09 |
| 1184092298 | Anita Sites | General Acute Care Hospital | Uva Transplant Center 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22908-3363 | 2015-09-04 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
Please comment or provide details below to improve the information on COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.