Healthcare Provider Details

I. General information

NPI: 1285080622
Provider Name (Legal Business Name): SENTARA PRINCESS ANNE HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2016
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 GLENN MITCHELL DR
VIRGINIA BEACH VA
23456-0178
US

IV. Provider business mailing address

2025 GLENN MITCHELL DR
VIRGINIA BEACH VA
23456-0178
US

V. Phone/Fax

Practice location:
  • Phone: 757-507-2740
  • Fax: 757-716-3978
Mailing address:
  • Phone: 757-507-2740
  • Fax: 757-716-3978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0404X
TaxonomyCardiac Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MELINDA SUMMERLIN HANCOCK
Title or Position: CFO
Credential:
Phone: 757-455-7458