Provider Demographics
NPI:1639500077
Name:HEALTH CARE SERVICES OF HAMPTON ROADS, INC.
Entity Type:Organization
Organization Name:HEALTH CARE SERVICES OF HAMPTON ROADS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1757-589-1669
Mailing Address - Street 1:50 W QUEENS WAY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-4279
Mailing Address - Country:US
Mailing Address - Phone:175-758-9166
Mailing Address - Fax:
Practice Address - Street 1:50 W QUEENS WAY
Practice Address - Street 2:SUITE 204
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-4279
Practice Address - Country:US
Practice Address - Phone:175-758-9166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization