Organization
MARTHA JEFFERSON HOSPITAL
Active
Parent organization
MARTHA JEFFERSON HOSPITAL
Other names
The Something Special Shop
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARTHA JEFFERSON HOSPITAL
Authorized official
MELINDA SUMMERLIN HANCOCK (CFO)
(757) 455-7458
Entity
Organization
Contact information
Practice address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911-4668
(434) 654-7042
Mailing address
590 PETER JEFFERSON PKWY STE 300, CHARLOTTESVILLE, VA 22911-4628
(434) 654-8574
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4900774
—
VA
Enumeration date
06/16/2010
Last updated
12/11/2025
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