Organization
SLEEPMED HAMPTON ROADS LLC
Active
Other names
SleepMed of Hampton Roads
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ROSE (VP OF FINANCE & ADMINISTRATION)
(978) 536-7400
Entity
Organization
Contact information
Practice address
606 DENBIGH BLVD, SUITE 105-B, NEWPORT NEWS, VA 23608-4413
(978) 536-7400
Mailing address
200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
(978) 536-7400
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184847196
—
VA
01
—
2165795
ONENET PPO
VA
01
—
364504
ANTHEM BLUE CROSS
VA
01
—
419630
CARE FIRST
MD
01
—
520537
CARE FIRST
MD
01
—
552495
SOUTHERN HEALTH
VA
01
—
8597001
CARE FIRST
VA
01
—
8597002
CARE FIRST
VA
01
—
85TZDI
CARE FIRST
MD
01
—
P00600120
RAILROAD MEDICARE
VA
Enumeration date
04/10/2007
Last updated
05/17/2016
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