MEDICARE: SENTARA HOSPITALS

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	261QR0404X	Cardiac Rehabilitation Clinic/Center
2	282N00000X	General Acute Care Hospital	H 1894	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000045	OTHER	VA	HEALTHKEEPERS
2	HG	OTHER	VA	SHM ENTITY
3	000045	OTHER	VA	TRIGON
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	232299	OTHER	VA	MAMSI
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	540505907	OTHER	VA	OTHERS
8	6560265	OTHER	VA	AETNA

General Provider Information

NPI Number	:	1336109107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENTARA HOSPITALS

Provider Business Mailing Address
First Line	:	1300 SENTARA PARK
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-5884
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 COLISEUM DR
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-5963
Country	:	US
Telephone Number	:	757-736-2650
Fax Number	:

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

Provider Enumeration Date	:	03/25/2006
Last Update Date	:	12/11/2025

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Directions to “SENTARA HOSPITALS ” Practice Location

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