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RRC490093-13 SENTARA CAREPLEX HOSPITAL (Active)
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Main Details
Name
SENTARA CAREPLEX HOSPITAL
Subdivision Name
SENTARA FAMILY MEDICINE PHYSICIANS - Family Medicine - Port Warwick I
Type
Rural Referral Center
Rural
Yes
340B ID
RRC490093-13
Medicare Provider Number
490093
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/2/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/9/2024
Last Recertification Date
Contacts
Authorizing Official
Vice President of Operations
Michael McKendall, Vice President of Operations
(757) 736-2655
Primary Contact
Sentara Careplex Hospital
June Javier, Pharmacy Manager
(757) 736-1216
Addresses
Street Address
11803 JEFFERSON AVE
STE 100
NEWPORT NEWS, VA 23606-4390
Billing Address
Sentara Careplex Hospital
1300 Sentara Park
Virginia Beach, VA 23464
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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