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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED

NPI Number 1043341613
LBN Legal business name EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED
Authorized official JEANNETTE EDWARDS - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2007
Last updated 03/22/2023 - About 3 years ago
Identifiers
VA Medicaid 007695187
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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