MEDICARE: BAYVIEW MEDICAL CENTER, INC

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	261QA1903X	Ambulatory Surgical Clinic/Center	OH660	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	490002226	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0721098	OTHER	VA	CIGNA #
2	227048	OTHER	VA	ANTHEM BCBS #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	655693	OTHER	VA	NCPPO #
7	556665	OTHER	VA	MAMSI #

General Provider Information

NPI Number	:	1568466209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYVIEW MEDICAL CENTER, INC

Provider Business Mailing Address
First Line	:	3241 WESTERN BRANCH BLVD
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-5260
Country	:	US
Telephone Number	:	757-686-3508
Fax Number	:	757-686-0541

Provider Business Practice Location Address
First Line	:	2000 MEADE PKWY
Second Line	:
City	:	SUFFOLK
State	:	VA
Zip	:	23434-4259
Country	:	US
Telephone Number	:	757-934-9329
Fax Number	:	757-923-9648

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JAMES T HARTZ
Credential	:
Telephone Number	:	757-686-3508

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	10/28/2025

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Directions to “BAYVIEW MEDICAL CENTER, INC ” Practice Location

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