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DSH490007Z SENTARA NORFOLK GENERAL HOSPITAL (Active)
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Main Details
Name
SENTARA NORFOLK GENERAL HOSPITAL
Subdivision Name
Family Medicine - Fort Norfolk - FM
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH490007Z
Medicare Provider Number
490007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/7/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/8/2024
Last Recertification Date
Contacts
Authorizing Official
Sentara Norfolk General Hospital
Christopher P Pierson, Chief Operating Officer
(757) 388-4275
Primary Contact
Sentara Healthcare
JON D HORTON, System Director of Pharmacy
(757) 388-5854
Addresses
Street Address
301 Riverview Avenue
Suite 810
Norfolk, VA 23510
Billing Address
Sentara Norfolk General Hospital
1300 Sentara Park
Virginia Beach, VA 23464
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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