Provider Demographics
NPI:1942288527
Name:MARY WASHINGTON HOSPITAL INC.
Entity type:Organization
Organization Name:MARY WASHINGTON HOSPITAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-741-3248
Mailing Address - Street 1:2300 FALL HILL AVE
Mailing Address - Street 2:SUITE 509
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-3342
Mailing Address - Country:US
Mailing Address - Phone:540-741-2277
Mailing Address - Fax:540-741-1097
Practice Address - Street 1:1001 SAM PERRY BLVD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4453
Practice Address - Country:US
Practice Address - Phone:540-741-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-04
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAH1874282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6560235OtherAETNA
VA4900227Medicaid
VA000023OtherANTHEM BC
VA0564123-038OtherCIGNA
VA234771OtherUNITED HEALTHCARE HMO, ONENET, MDIPA, OPTIMUM CHOICE
VAHG2OtherCAREFIRST BC
VA148675200OtherDEPARTMENT OF LABOR
VA234771OtherUNITED HEALTHCARE HMO, ONENET, MDIPA, OPTIMUM CHOICE
VA4900227Medicaid
VA490022Medicare ID - Type Unspecified
VA482821OtherHEALTHLINK
VA20031OtherCARENET M/K
VA4900227Medicaid