Provider Demographics
NPI:1003265075
Name:CHESAPEAKE HOSPITAL AUTHORITY
Entity Type:Organization
Organization Name:CHESAPEAKE HOSPITAL AUTHORITY
Other - Org Name:CHESAPEAKE REGIONAL SURGERY CENTER AT VIRGINIA BEACH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PAYOR CONTRACTING
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-312-6482
Mailing Address - Street 1:229 CLEARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1815
Mailing Address - Country:US
Mailing Address - Phone:757-312-6300
Mailing Address - Fax:757-312-6306
Practice Address - Street 1:229 CLEARFIELD AVE
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-1815
Practice Address - Country:US
Practice Address - Phone:757-312-6300
Practice Address - Fax:757-312-6306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-09
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAH1841282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital