Organization
SURGERY CENTER OF CHESAPEAKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE C CAMARDELLA BSN, CHCRM (CEO)
(757) 312-6250
Entity
Organization
Contact information
Practice address
844 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4802
(757) 312-6800
Mailing address
844 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4802
(757) 312-6800
(757) 312-6361
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0220000405
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007603771
—
VA
01
—
442005
ANTHEM BLUE CROSS BLUE SHIELD
VA
Enumeration date
12/21/2005
Last updated
03/10/2015
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