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Contact Information

SHORE HEALTH SVC INC
9507 HOSPITAL AVE
NASSAWADOX, VA23413
 Phone: 757-414-8781
 Fax: 757-442-6295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SHORE HEALTH SVC INC

NPI # 1861403990
LBN Legal business name SHORE HEALTH SVC INC
Authorized official JAMES DAVIS - (DIRCTR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2006
Last updated 04/21/2016 - About 10 years ago
Identifiers
VA License # 0201001224
VA Medicaid 4900375
Other 2103118 PK
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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