Provider Demographics
NPI:1104086685
Name:SENTARA CAREPLEX HOSPITAL
Entity type:Organization
Organization Name:SENTARA CAREPLEX HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE NAVIGATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, OCN
Authorized Official - Phone:757-827-2206
Mailing Address - Street 1:3000 COLISEUM DR.
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-3945
Mailing Address - Country:US
Mailing Address - Phone:757-736-1000
Mailing Address - Fax:757-827-2219
Practice Address - Street 1:3000 COLISEUM DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-5963
Practice Address - Country:US
Practice Address - Phone:757-736-1000
Practice Address - Fax:757-827-2219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital