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DSH490007A SENTARA NORFOLK GENERAL HOSPITAL (Terminated)
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Main Details
Name
SENTARA NORFOLK GENERAL HOSPITAL
Subdivision Name
ACUTE CARE
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH490007A
Medicare Provider Number
490007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/24/2008
Participating Start Date
7/1/2003
Participating Approval Date
4/24/2008
Last Recertification Date
8/12/2016
Termination Date
Termination Reason
1/1/2018
Other
Contacts
Authorizing Official
Sentara Norfolk General Hospital
Carolyn C Carpenter, President
(757) 388-3494
Primary Contact
Sentara Norfolk General Hospital
Tim Jennings, VP Pharmacy
(757) 388-3443
Addresses
Street Address
600 GRESHAM DRIVE
NORFOLK, VA 23507
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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