Provider Demographics
NPI:1518467133
Name:CITY OF HAMPTON
Entity Type:Organization
Organization Name:CITY OF HAMPTON
Other - Org Name:INFANT & TODDLER CONNECTION OF HAMPTON-NEWPORT NEWS
Other - Org Type:Other Name
Authorized Official - Title/Position:CITY MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:B
Authorized Official - Last Name:BUNTING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-272-6392
Mailing Address - Street 1:100 OLD HAMPTON LANE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-4096
Mailing Address - Country:US
Mailing Address - Phone:757-726-4012
Mailing Address - Fax:757-726-4011
Practice Address - Street 1:100 OLD HAMPTON LANE
Practice Address - Street 2:SUITE 200
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-4096
Practice Address - Country:US
Practice Address - Phone:757-726-4012
Practice Address - Fax:757-726-4011
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF HAMPTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0159070025OtherAPI