Riverside Convalescent Center, Mathews

LBN: Patrick Henry Hospital, Inc.
Riverside Convalescent Center, Mathews is an health care organization with primary practice located at 603 Main St. , Mathews VA 23109. The organization recently has 4 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Patrick Henry Hospital, Inc. can be contacted via phone (804) 725-9443, or through Austin, Walter W via phone (757) 875-7846.

Contact Information

Primary practice address
603 Main St. Mathews VA 23109
Phone: (804) 725-9443
Fax: (804) 725-3184
Website:
Map and Directions
Authorized official contact:
Name: Austin, Walter W
Phone: (757) 875-7846

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 49E215 Virginia
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Suppliers / Nursing Facility Supplies 332BN1400X 49E215 Virginia
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 49E215 Virginia

Profile Details

NPI number 1255448379
LBN Legal business name Patrick Henry Hospital, Inc.
DBA Doing business as Riverside Convalescent Center, Mathews
Authorized official Austin, Walter W
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2006
Last updated Nov 30th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255448379 NPPES
Virginia MEDICAID 004967348
Virginia Other 495429

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