Provider Demographics
NPI:1043343304
Name:STAFFORD HOSPITAL, LLC
Entity type:Organization
Organization Name:STAFFORD HOSPITAL, LLC
Other - Org Name:<UNAVAIL>
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:540-741-1821
Mailing Address - Fax:540-741-1097
Practice Address - Street 1:101 HOSPITAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-6200
Practice Address - Country:US
Practice Address - Phone:540-741-1821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0564123-038OtherCIGNA
VAHG2OtherCAREFIRST BC
VA234771OtherUNITED HEALTHCARE HMO, ONENET, MDPIA, OPTIMUM CHOICE
VA614500700OtherDEPARTMENT OF LABOR
VA9447838OtherAETNA
VA540519577002OtherTRICARE
VA364695OtherANTHEM BC
VA0564123-038OtherCIGNA
VA=========Medicaid
VA490140Medicare Oscar/Certification
VA=========Medicaid