NPI 1174693592

Sentara Enterprises

Organisation Home Infusion Agency Chesapeake, VA

Practice location

Address: 535 Independence Pkwy Suite 300, Chesapeake, VA 23320-5176
Phone: (757) 382-4980
Fax: (787) 382-4957

Authorised official

Name: Kim Bradley
Title: Vice President, Sentara Enterprises
Phone: (757) 553-3000

Registered specialties (4)

Home Infusion Agency Primary

Agencies Taxonomy 251F00000X

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Infusion Therapy Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QI0500X Licence 0201003309 (VA)

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Specialty Pharmacy

Suppliers Taxonomy 3336S0011X

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Registry record

NPI: 1174693592
Entity type: Organization
NPI issued: 9 Nov 2006
Record last updated: 29 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.