Healthcare Provider Details

I. General information

NPI: 1083729024
Provider Name (Legal Business Name): SENTARA HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SENTARA CIR
WILLIAMSBURG VA
23188-5713
US

IV. Provider business mailing address

100 SENTARA CIR
WILLIAMSBURG VA
23188-5713
US

V. Phone/Fax

Practice location:
  • Phone: 757-984-8100
  • Fax: 757-984-8113
Mailing address:
  • Phone: 757-984-8100
  • Fax: 757-984-8113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0201004757
License Number StateVA

VIII. Authorized Official

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