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RRC490046-05 SENTARA LEIGH HOSPITAL (Active)
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Main Details
Name
SENTARA LEIGH HOSPITAL
Subdivision Name
Noninvasive Echo - 2
Type
Rural Referral Center
Rural
Yes
340B ID
RRC490046-05
Medicare Provider Number
490046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/8/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/31/2024
Last Recertification Date
Contacts
Authorizing Official
Sentara Leigh Hospital
Tim O'Brien, Vice President
(757) 261-8610
Primary Contact
Sentara Leigh Hospital
Nicole Lazar, Pharmacy Manager - Primary Contact
(757) 261-8037
Addresses
Street Address
844 Kempsville Road
Suite 204
Norfolk, VA 23502
Billing Address
Sentara Leigh Hospital
1300 Sentara Park
Virginia Beach, VA 23464
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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