EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED (NPI# 1043341613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043341613 |
| Entity Type | Organization |
| Organization Name | EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED |
| Other Organization Name | ATLANTIC COMMUNITY HEALTH CENTER |
| Practice Address |
5219 Lankford Hwy New Church VA 23415-3332 |
| Mailing Address |
20280 Market St Onancock VA 23417-1331 |
| Practice Telephone | 7578245676 |
| Practice Fax Number | 7578245872 |
| Mailing Telephone | 7574140401 |
| Mailing Fax Number | 7574140569 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2015-05-28 |
| Authorized Official Name | NANCY STERN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7574140400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007695187 | 05 |
| Other Name | Type Code |
|---|---|
| Atlantic Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043463227 | Eastern Shore Rural Health System Incorporated | Clinic/Center | 24501 Parksley Rd, Parksley, VA 23421-2519 | 2008-10-31 |
| 1881847135 | Eastern Shore Rural Health System Incorporated | Clinic/Center | 28480 Bobtown Rd, Melfa, VA 23410-3508 | 2008-10-30 |
| 1134430481 | Eastern Shore Rural Health System Incorporated | Clinic/Center | Main Street, Tangier Island, VA 23440-3300 | 2010-07-01 |
| 1194856765 | Eastern Shore Rural Health System Incorporated | Clinic/Center | 9159 Franktown Road, Franktown, VA 23354 | 2007-03-08 |
| 1396876975 | Eastern Shore Rural Health System Incorporated | Clinic/Center | 17068 Lankford Highway, Eastville, VA 23347-0098 | 2007-03-08 |
| 1598895542 | Eastern Shore Rural Health System Incorporated | Clinic/Center | 4049 Main St, Chincoteague, VA 23336-2406 | 2007-03-07 |
| 1568592426 | Eastern Shore Rural Health System Incorporated | Clinic/Center | 20306 Badger Lane, Onley, VA 23418 | 2007-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED | 20280 Market St, Onancock, Virginia 23417-1331 |
| Street Address |
5219 LANKFORD HWY |
| City | NEW CHURCH |
| State | VA |
| Zip Code | 23415-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811975147 | David Hoshino | Family Medicine | 5219 Lankford Hwy, New Church, VA 23415-3332 | 2006-01-06 |
| 1346733243 | Michael John Snyder | Student in an Organized Health Care Education/Training Program | 5219 Lankford Hwy, New Church, VA 23415-3332 | 2018-06-14 |
| 1043702616 | Megan Marianne Dorris | Physician Assistant | 5219 Lankford Hwy, New Church, VA 23415-3332 | 2018-05-30 |
| 1245728096 | Alison White Parks | Dental Hygienist | 5219 Lankford Hwy, New Church, VA 23415-3332 | 2018-04-27 |
| 1619404514 | Alyssa R Stout | Dentist | 5219 Lankford Hwy, New Church, VA 23415-3332 | 2017-05-22 |
| 1578911392 | Rebecca Kiren Nightingale | Physician Assistant | 5219 Lankford Hwy, Atlantic Community Health Center, New Church, VA 23415-3332 | 2016-06-02 |
| 1972958619 | Laura Martin Smith | Dental Hygienist | 5219 Lankford Hwy, New Church, VA 23415-3332 | 2016-05-02 |
| 1114382249 | Marie J Carnes | Nurse Practitioner | 5219 Lankford Hwy, New Church, VA 23415-3332 | 2015-12-16 |
| 1972802445 | Susan Bouchard Murray | Pediatrics | 5219 Lankford Hwy, New Church, VA 23415-3332 | 2011-03-22 |
| 1952530602 | Erin Mccall | Family Medicine | 5219 Lankford Hwy, New Church, VA 23415-3332 | 2009-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558509323 | Susan Watkins Fratanduono | Speech-Language Pathologist | 7096 Gene Wayne Ln, New Church, VA 23415 | 2009-02-01 |
| 1730148669 | Jean S Laughman | Nurse Practitioner | Atlantic Community Health Center, 5219 Lankford Highway, New Church, VA 23415 | 2006-03-20 |
| 1023379153 | Sandra K Balmoria | Family Medicine | 5219 Lankford Highway, New Church, VA 23415-1715 | 2012-06-05 |
| 1356481147 | Carlo J Pilla | Chiropractor | 5422 Lankford Hwy, New Church, VA 23415-3320 | 2007-02-08 |
| 1902441330 | Kenya Marshall Alexander | Licensed Practical Nurse | 7080 Chincoteague Ln, New Church, VA 23415-3838 | 2019-11-08 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1689122186 | Monroe County Health Center Board of Trustees | Clinic/Center | 25239 Craigs Creek Rd, New Castle, VA 24127-6223 | 2016-09-14 |
| 1962950584 | Vernon J Harris East End Community Health Center | Clinic/Center | 1800 Lynhaven Ave, Richmond, VA 23224-7734 | 2016-09-12 |
| Find all providers with the same taxonomy | ||||
| City | NEW CHURCH |
| Zip Code | 23415 |
Please comment or provide details below to improve the information on EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.