| Chesapeake Hospital Llc | |
|
9891 General Puller Hwy Hartfield VA 23071-3122 | |
| (804) 776-9221 | |
| (804) 776-7537 |
| Full Name | Chesapeake Hospital Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9891 General Puller Hwy, Hartfield, Virginia |
| Authorized Official Name and Position | Kimberly Ralston (SYSTEM DIRECTOR) |
| Authorized Official Contact | 4199965119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Hospital Llc Po Box 639991 Cincinnati OH 45263-9991 Ph: (804) 627-5573 | Chesapeake Hospital Llc 9891 General Puller Hwy Hartfield VA 23071-3122 Ph: (804) 776-9221 |
| NPI Number | 1013407543 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 09/22/2020 |
| Medicare PECOS PAC ID | 8921060427 |
|---|---|
| Medicare Enrollment ID | O20180816002697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013407543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Chesapeake Hospital Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9891 General Puller Hwy, Hartfield, VA 23071 Phone: 804-776-9221 Fax: 804-776-7537 | |
Chesapeake Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9891 General Puller Hwy, Hartfield, VA 23071 Phone: 804-776-9221 Fax: 804-776-7537 |