Provider Demographics
NPI:1326293028
Name:HUNTER HOLMES MCGUIRE MEDICAL CENTER
Entity Type:Organization
Organization Name:HUNTER HOLMES MCGUIRE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WATTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-675-6533
Mailing Address - Street 1:PSC 557
Mailing Address - Street 2:BOX 104
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96379-0379
Mailing Address - Country:US
Mailing Address - Phone:757-271-6226
Mailing Address - Fax:
Practice Address - Street 1:221 RUTHERS ROAD
Practice Address - Street 2:SUITE 103
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235
Practice Address - Country:US
Practice Address - Phone:804-320-1113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00010704502865M2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2865M2000XHospitalsMilitary HospitalMilitary General Acute Care Hospital