National Provider Identifier Database

EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED
5219 LANKFORD HWY
NEW CHURCH, VA23415-3332
Phone: 757-824-5676
Fax: 757-824-5872
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED

NPI Number 1043341613
Legal business name
LBN
EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED
Authorized official JEANNETTE EDWARDS - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 03/08/2007
Last updated 03/22/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 007695187

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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