EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED; NPI #1881847135

Contact Information

EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED

28480 BOBTOWN RD
MELFA, VA 23410-3508

Phone: 757-789-7777
Fax: 757-789-7778
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED

NPI Number 1881847135

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 10/30/2008

Last updated 03/22/2023 - About 3 years ago

Identifiers

Medicaid

008450552

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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