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.
20280 MARKET ST
ONANCOCK, VA23417-1331
Phone: 757-414-0400
Fax: 757-414-0569
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 1174502967
Legal business name
LBN
EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED.
Authorized official JEANNETTE EDWARDS - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 01/11/2006
Last updated 03/22/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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