Active NPI
Sentara Hospitals
Doing business as Sentara Obici Hospital
- Skilled Nursing Facility
- Suffolk, VA
National Provider Identifier
1689916884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- H1869
- Legal business name
- SENTARA HOSPITALS
- Doing business as
- Sentara Obici Hospital
- Practice address
- 2800 Godwin Blvd
Suffolk, VA 23434-8038 - Phone
- (757) 934-4000
- NPI assigned
- Mar 26, 2013
- Last updated
- Mar 26, 2013
- Organization subpart
- Yes
- Parent organization
- SENTARA HEALTHCARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert A. Broermann
- Title
- Cfo, SH
- Phone
- (757) 455-7020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | H1869 | VA | Primary |
Addresses
Primary practice location
2800 Godwin Blvd
Suffolk, VA 23434-8038
Mailing address
6015 Poplar Hall Dr
Suite 200
Norfolk, VA 23502-3819
Phone (757) 455-7102
Other names 1
- Sentara Obici Hospital
National Provider Directory
National Provider Directory- Part of
- Sentara Health Care
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- Hampton, VA
- NPI 1730615816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364256000000",
"number": "1689916884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6015 POPLAR HALL DR",
"address_2": "SUITE 200",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023819",
"telephone_number": "757-455-7102",
"fax_number": "757-455-7919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 GODWIN BLVD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348038",
"telephone_number": "757-934-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENTARA HOSPITALS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SENTARA HEALTHCARE",
"enumeration_date": "2013-03-26",
"last_updated": "2013-03-26",
"status": "A",
"authorized_official_last_name": "BROERMANN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CFO, SH",
"authorized_official_telephone_number": "757-455-7020",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "VA",
"license": "H1869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sentara Obici Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Suffolk, VA
- Sensitive Care Home Care Services
- Sentara Enterprises (Sentara Home Care Services - Suffolk)
- Sentara Hospitals (Sentara Obici Hospital Psychiatric Unit)
- Sentara Hospitals (Sentara Obici Hospital)
- Sentara Hospitals
- Sentara Medical Group (Sentara Hospital Medicine Physicians)
- Sentara Medical Group (Sentara Neurology Specialists)
- Sentara Medical Group (Urology of Virginia)
- Sentara Medical Group (Sentara Occupational Medicine)
- Sentara Medical Group (Sentara Internal Medicine Physicians)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.