| Chesapeake Hospital Authority | |
|
1805 W City Dr Ste H Elizabeth City NC 27909-9660 | |
| (252) 334-1602 | |
| Not Available |
| Full Name | Chesapeake Hospital Authority |
|---|---|
| Speciality | Clinic/Center |
| Location | 1805 W City Dr Ste H, Elizabeth City, North Carolina |
| Authorized Official Name and Position | Stephen Craig Mcdonnell (VP/CFO) |
| Authorized Official Contact | 7573123138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Hospital Authority 667 Kingsborough Sq Ste 101 Chesapeake VA 23320-4999 Ph: (757) 312-4481 | Chesapeake Hospital Authority 1805 W City Dr Ste H Elizabeth City NC 27909-9660 Ph: (252) 334-1602 |
| NPI Number | 1902559719 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/01/2022 |
| Medicare PECOS PAC ID | 5092627893 |
|---|---|
| Medicare Enrollment ID | O20220728003778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902559719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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