Provider Demographics
NPI:1326071093
Name:FIRST HOSPITAL CORPORATION OF VIRGINIA BEACH
Entity Type:Organization
Organization Name:FIRST HOSPITAL CORPORATION OF VIRGINIA BEACH
Other - Org Name:VIRGINIA BEACH PSYCHIATRIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:1100 FIRST COLONIAL RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-2403
Mailing Address - Country:US
Mailing Address - Phone:757-496-6000
Mailing Address - Fax:757-496-4550
Practice Address - Street 1:1100 FIRST COLONIAL RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-2403
Practice Address - Country:US
Practice Address - Phone:757-496-6000
Practice Address - Fax:757-496-4550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA037283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKHS205PIMedicaid
VA4940253Medicaid
NJ8614504Medicaid
MD4066600 00Medicaid
CT003114684Medicaid
PA01828823Medicaid
DC0314233 00Medicaid
NJ8614504Medicaid