Provider Demographics
NPI:1629038336
Name:SENTARA HOSPITALS
Entity Type:Organization
Organization Name:SENTARA HOSPITALS
Other - Org Name:SENTARA VIRGINIA BEACH GENERAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO, SH
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-455-7020
Mailing Address - Street 1:6015 POPLAR HALL DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3819
Mailing Address - Country:US
Mailing Address - Phone:757-455-7102
Mailing Address - Fax:757-455-7919
Practice Address - Street 1:1060 FIRST COLONIAL RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3002
Practice Address - Country:US
Practice Address - Phone:757-395-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-25
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QR0404X
VAH 1897282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QR0404XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Cardiac Facilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA49-0057-0Medicaid
VA000088OtherHEALTHKEEPERS
VA210052OtherMAMSI
VA49-0057-0OtherCHARTERED MEDICAID
VAVBOtherSHM ENTITY
VA540683504OtherTRICARE - HILLTOP THER CE
VA6560700OtherAETNA
VACVOtherCOE
VA540683504OtherOTHERS
VA000088OtherTRIGON
VA000088OtherTRIGON HILLTOP THERAPY CE
VA49-0057-0Medicaid
VA49-0057-0OtherCHARTERED MEDICAID
VA49-0057Medicare ID - Type UnspecifiedHILLTOP THERAPY CENTER
VA490057Medicare Oscar/Certification