NPIMap

Organization Active NPI

Chesapeake Hospital Authority

Doing business as Chesapeake General Hospital

  • General Acute Care Hospital
  • Chesapeake, VA
National Provider Identifier
1700896354
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1841 Issued in VA
Legal business name
CHESAPEAKE HOSPITAL AUTHORITY
Doing business as
Chesapeake General Hospital
Practice address
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone
(757) 312-6512
Fax
(757) 312-6300
NPI assigned
Aug 8, 2006
Last updated
Oct 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Donna M Demmerle, CPA
Title
Vice President/Cfo
Phone
(757) 312-6512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H1841 VA Primary

Addresses

Primary practice location

736 Battlefield Blvd N
Chesapeake, VA 23320-4941

Mailing address

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-6512

Other names 1

  • Chesapeake General Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071213000802 VA Part A Provider - Hospital 5092627893 2 other NPIs on this enrollment
Practice locations: Suffolk, VA; Elizabeth City, NC; Chesapeake, VA
O20090708000753 NC Part B Supplier - Clinic/Group Practice 8426113663 Receives reassigned benefits from 55 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Camden, NC; Elizabeth City, NC; Kitty Hawk, NC; Moyock, NC; Nags Head, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700896354. Details of each certification follow.

Hospital certification: CCN 490120

Legal name
CHESAPEAKE HOSPITAL AUTHORITY
Doing business as
CHESAPEAKE GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 29, 1976
Last certification
Jun 7, 1995
Beds
310
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Chesapeake General HospitalCCN 490120 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0015841Chesapeake General Hospital Lab736 Battlefield Boulevard N - 3Rd Floor South, Chesapeake, VA 23320AccreditationFeb 8, 2027

National Provider Directory

National Provider Directory

Locations

534 Caratoke Hwy
Moyock, NC 27958
Phone (252) 435-6621

1464 Mount Pleasant Rd
Ste 13
Chesapeake, VA 23322
Phone (757) 410-4580

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stephen McDonnell Individual Corporate OfficerCfo Sep 18, 2017
W-2 Managing Employee Oct 3, 2017
Jason Andrew Mercier Individual Corporate DirectorDirector of Patient Accounts Apr 19, 2021
Timothy Garrett Individual W-2 Managing Employee Nov 13, 2018

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Outer Banks Health HospitalNags Head, NC, CCN 341324 Hospital Other (40%) Oct 1, 2002

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

Affiliated clinicians 745

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 745

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1700896354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 BATTLEFIELD BLVD N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204941",
            "telephone_number": "757-312-6512",
            "fax_number": "757-312-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 BATTLEFIELD BLVD N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204941",
            "telephone_number": "757-312-6512",
            "fax_number": "757-312-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "DEMMERLE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "757-312-6512",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H1841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.