MEDICARE: SENTARA ALBEMARLE REGIONAL MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	H0054	NC

General Provider Information

NPI Number	:	1154708436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENTARA ALBEMARLE REGIONAL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	3050 HALSTEAD BLVD
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-3473
Country	:	US
Telephone Number	:	252-384-4600
Fax Number	:	252-384-4677

Provider Business Practice Location Address
First Line	:	3050 HALSTEAD BLVD
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-3473
Country	:	US
Telephone Number	:	252-384-4600
Fax Number	:	252-384-4677

Authorized Official
Title or Position	:	CFO
Name	:	MELINDA SUMMERLIN HANCOCK
Credential	:
Telephone Number	:	757-455-7458

Provider Enumeration Date	:	05/06/2015
Last Update Date	:	12/15/2025

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