Provider Demographics
NPI:1316943277
Name:CHESAPEAKE HOSPITAL AUTHORITY
Entity type:Organization
Organization Name:CHESAPEAKE HOSPITAL AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER/CHIEF NURSI
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:EGYUD
Authorized Official - Suffix:
Authorized Official - Credentials:DNP RN
Authorized Official - Phone:757-312-6308
Mailing Address - Street 1:1301 EXECUTIVE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3671
Mailing Address - Country:US
Mailing Address - Phone:757-312-6460
Mailing Address - Fax:757-312-6477
Practice Address - Street 1:1301 EXECUTIVE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3671
Practice Address - Country:US
Practice Address - Phone:757-312-6460
Practice Address - Fax:757-312-6477
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHESAPEAKE HOSPITAL AUTHORITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-24
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00497279Medicaid
VA00497279Medicaid