# OPTIMA HEALTH PLAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SENTARA COMMUNITY CARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821793381
- **Authorized official:** DORIS PRINCE (DIRECTOR)
- **Authorized official phone:** (757) 983-5475

## Contact information

- **Practice address:** 2010 HEALTH CAMPUS DR, ROCKINGHAM, VA 22801-8679
- **Practice address phone:** (540) 564-5880
- **Practice address fax:** (757) 470-5392
- **Mailing address:** 2010 HEALTH CAMPUS DR, ROCKINGHAM, VA 22801-8679
- **Mailing address phone:** (540) 564-5880
- **Mailing address fax:** (757) 470-5392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | NULL | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 04/04/2023
- **Last updated:** 06/07/2023