EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED (NPI# 1043463227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043463227 |
| Entity Type | Organization |
| Organization Name | EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED |
| Other Organization Name | METOMPKIN ELEMENTARY SCHOOL DENTAL PROGRAM |
| Practice Address |
24501 Parksley Rd Parksley VA 23421-2519 |
| Mailing Address |
20280 Market St Onancock VA 23417-1331 |
| Practice Telephone | 7574140431 |
| Practice Fax Number | 7574140569 |
| Mailing Telephone | 7574140431 |
| Mailing Fax Number | 7574140569 |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2015-05-28 |
| Authorized Official Name | NANCY STERN (EXECUTIVE DIRECTOR) |
| 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 | 008450552 | 05 |
| Other Name | Type Code |
|---|---|
| Metompkin Elementary School Dental Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1043341613 | Eastern Shore Rural Health System Incorporated | Clinic/Center | 5219 Lankford Hwy, New Church, VA 23415-3332 | 2007-03-08 |
| 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 |
24501 PARKSLEY RD |
| City | PARKSLEY |
| State | VA |
| Zip Code | 23421-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003321811 | Cynthia Dize Franklin | Speech-Language Pathologist | 24501 Parksley Rd, Parksley, VA 23421-2519 | 2017-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255727715 | Nidya De La Torre | Dentist | 24501 Parksley Road, Parksley, VA 23421 | 2015-04-11 |
| 1467868877 | Monica Boole Layne | Nurse Practitioner | 17835 Lankford Highway, Parksley, VA 23421 | 2014-07-07 |
| 1174945489 | Shore Transport Services Inc. | Non-emergency Medical Transport (VAN) | 24076 Lee Mont Rd., Parksley, VA 23421 | 2014-01-07 |
| 1639300726 | Sasha Baier | Counselor | 19056 Greenbush Rd., Parksley, VA 23421 | 2009-08-06 |
| 1154411510 | Eastern Shore Community Mh Mr Sas Services Board | Counselor | 19056 Greenbush Rd, Parksley, VA 23421 | 2006-10-13 |
| 1699879312 | Tian Fei | Dentist | 24277 Cooke St, Parksley, VA 23421 | 2006-09-12 |
| 1295730265 | Runningers Pharmacy Inc | Pharmacy | 18465 Dunne Ave, Parksley, VA 23421 | 2005-06-16 |
| 1902439516 | Caitlin Ford | Social Worker | 19056 Greenbush Rd, Parksley, VA 23421 | 2020-02-21 |
| 1316586225 | Paige Rew Mclean | Social Worker | 19056 Greenbush Road, Parksley, VA 23421 | 2019-12-26 |
| 1205493897 | Beverly Turner | Counselor | 18469 Dunne Ave, Parksley, VA 23421 | 2019-05-20 |
| Find all providers in zip 23421 | ||||
| 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 | ||||
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| 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.