Provider Demographics
NPI:1013281724
Name:NMCP
Entity type:Organization
Organization Name:NMCP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIVISION OFFICER/PEDS/PICU
Authorized Official - Prefix:MR
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:PNP
Authorized Official - Phone:757-953-4477
Mailing Address - Street 1:2545 BELMONT STAKES DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-8130
Mailing Address - Country:US
Mailing Address - Phone:757-615-1774
Mailing Address - Fax:
Practice Address - Street 1:2545 BELMONT STAKES DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-8130
Practice Address - Country:US
Practice Address - Phone:757-615-1774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA286500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital