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NPI Code Detail

MEDICARE: SENTARA PRINCESS ANNE HOSPITAL

MEDICARE: SENTARA PRINCESS ANNE HOSPITAL
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
1261QR0404XCardiac Rehabilitation Clinic/Center
2282N00000XGeneral Acute Care HospitalH 1893VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010576OTHERVATRIGON
2232300OTHERVAMAMSI
3541547408OTHERVAOTHERS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6541547408OTHERVATRICARE
76560685OTHERVAAETNA
8010576OTHERVAHEALTHKEEPERS
9BSOTHERVASHM ENTITY

General Provider Information

NPI Number : 1528028396
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENTARA PRINCESS ANNE HOSPITAL
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 : 2025 GLENN MITCHELL DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-0178
Country : US
Telephone Number : 757-507-1000
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 PRINCESS ANNE HOSPITAL ” Practice Location

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