Sentara Norfolk General Psychiatric Unit | |
600 Gresham Dr Norfolk VA 23507-1904 | |
(757) 388-3000 | |
Not Available |
Full Name | Sentara Norfolk General Psychiatric Unit |
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Speciality | Psychiatric Unit |
Location | 600 Gresham Dr, Norfolk, Virginia |
Authorized Official Name and Position | Robert A. Broermann (CFO, SH) |
Authorized Official Contact | 7574557020 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sentara Norfolk General Psychiatric Unit 6015 Poplar Hall Dr Suite 200 Norfolk VA 23502-3819 Ph: (757) 455-7102 | Sentara Norfolk General Psychiatric Unit 600 Gresham Dr Norfolk VA 23507-1904 Ph: (757) 388-3000 |
NPI Number | 1649345158 |
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Provider Enumeration Date | 11/21/2006 |
Last Update Date | 11/27/2023 |
Certification Date | 01/03/2020 |
Medicare PECOS PAC ID | 3274424924 |
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Medicare Enrollment ID | O20150505002890 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649345158 | NPI | - | NPPES |
49-3007-0 | Other | VA | NG PSYCH CHARTERED MCAID |
49-0007-3 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | H 1896 (Virginia) | Primary |
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