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RRC490120-00 CHESAPEAKE GENERAL HOSPITAL (Terminated)
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Main Details
Name
CHESAPEAKE GENERAL HOSPITAL
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC490120-00
Medicare Provider Number
490120
Additional Details
Current Program Status
Terminated
Registration Date
7/9/2021
Participating Start Date
8/27/2021
Participating Approval Date
7/26/2021
Last Recertification Date
8/19/2024
Termination Date
Termination Reason
1/1/2025
DSH percentage below statutory minimum
Contacts
Authorizing Official
Chesapeake General Hospital
Reese Jackson, President and CEO
(757) 312-8121
Primary Contact
Chesapeake General Hospital
Yao-Hua Lin, Director of Pharmacy
(757) 312-6168
Addresses
Street Address
736 BATTLEFIELD BLVD. NORTH
CHESAPEAKE, VA 23320
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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