Cancer Specialists Of Tidewater, Ltd.
LBN: Cancer Specialists Of Tidewater, Ltd.
Cancer Specialists Of Tidewater, Ltd. is an health care organization with primary practice located at 110 Wimbledon Sq Suite E, Chesapeake VA 23320-4946. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Cancer Specialists Of Tidewater, Ltd. can be contacted via phone (757) 436-1492, or through Pernell, Carrie Ann via phone (757) 436-1492.
Contact Information
Primary practice address
110 Wimbledon Sq Suite E
Chesapeake VA 23320-4946
Phone: (757) 436-1492
Fax: (757) 436-2912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1073521548 |
|---|---|
| LBN Legal business name | Cancer Specialists Of Tidewater, Ltd. |
| DBA Doing business as | |
| Authorized official | Pernell, Carrie Ann |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Apr 1st, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073521548 | NPPES |
| Virginia | Other | 033518 | ANTHEM |
| Virginia | Other | 890511H | ANTHEM |
| Virginia | Other | 35037 | ANTHEM |
| Virginia | Other | 890584T | ANTHEM |
| Virginia | Other | 093213 | ANTHEM |
| Virginia | Other | 52831 | ANTHEM |
| Virginia | MEDICAID | 60-48030 | ANTHEM |
| Virginia | Other | 830007176 | ANTHEM |
| Virginia | Other | 890500W | ANTHEM |
| Virginia | Other | 830003514 | ANTHEM |
| Virginia | Other | 265950 | ANTHEM |
| Virginia | Other | 900001703 | ANTHEM |
| Virginia | MEDICAID | 58-45521 | ANTHEM |
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