EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED; NPI #1649987058

Contact Information

EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED

25228 LANKFORD HIGHWAY
ONLEY, VA 23418-2341

Phone: 757-414-0400
Fax: 757-414-0569
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center
Occupational Medicine	261QX0100X
Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED

NPI #	`1649987058`
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	11/04/2022
Last updated	03/25/2025 - More than a year ago
Identifiers	n/a

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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