Provider Demographics
NPI:1851490593
Name:HAMILTON ACQUISITION CORP.
Entity Type:Organization
Organization Name:HAMILTON ACQUISITION CORP.
Other - Org Name:STALLINGS GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RALEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-366-3100
Mailing Address - Street 1:2876 GUARDIAN LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-7327
Mailing Address - Country:US
Mailing Address - Phone:757-463-5240
Mailing Address - Fax:757-463-6572
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:757-366-3100
Practice Address - Fax:757-366-9474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA074438OtherHEALTHKEEPERS
NC0490999Medicaid
NC0490999Medicaid
VA=========OtherHEALTHNET - TRICARE/CHAMP
VA=========OtherTRICARE FOR LIFE
VAC04091Medicare PIN
VACA7873Medicare PIN