SHORE HEALTH SERVICES INC (NPI# 1114097771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114097771 |
| Entity Type | Organization |
| Organization Name | SHORE HEALTH SERVICES INC |
| Other Organization Name | SHORE MEMORIAL HOSPITAL |
| Practice Address |
9507 Hospital Ave Nassawadox VA 23413 |
| Mailing Address |
Po Box 17 9507 Hospital Ave Nassawadox VA 23413 |
| Practice Telephone | 7574148702 |
| Practice Fax Number | 7574148335 |
| Mailing Telephone | 7574148702 |
| Mailing Fax Number | 7574148335 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT P YEARTY (CFO) |
| Authorized Official Telephone | 7574148756 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | ========= | VA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 442205 | 01 |
| VA | 4951638 | 05 |
| Other Name | Type Code |
|---|---|
| Shore Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851798409 | Shore Health Services Inc | General Acute Care Hospital | 10085 William F Bernart Circle, Nassawadox, VA 23413 | 2014-11-25 |
| 1962579193 | Shore Health Services Inc | Psychiatric Unit | 9507 Hospital Ave, Nassawadox, VA 23413 | 2006-11-30 |
| 1205906864 | Shore Health Services Inc | Skilled Nursing Facility | 9507 Hospital Ave, Nassawadox, VA 23413 | 2006-11-09 |
| 1730122417 | Shore Health Services Inc | Internal Medicine | 10085 William F Bernart Circle, Nassawadox, VA 23413 | 2006-06-13 |
| 1083668982 | Shore Health Services Inc | Orthopaedic Surgery | 9506 Hospital Ave, Nassawadox, VA 23413 | 2006-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SHORE HEALTH SERVICES INC. | 20480 Market St, Onancock, Virginia 23417-4309 |
| Street Address |
9507 HOSPITAL AVE |
| City | NASSAWADOX |
| State | VA |
| Zip Code | 23413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588655302 | James Kaye | Specialist | 9507 Hospital Ave, Nassawadox, VA 23413 | 2005-11-01 |
| 1174883474 | Sentara Medical Group | Internal Medicine | 9507 Hospital Ave, Nassawadox, VA 23413-0017 | 2012-05-21 |
| 1447556097 | Riverside Physician Services Inc | Internal Medicine | 9507 Hospital Ave, 3rd Floor, Nassawadox, VA 23413 | 2011-01-31 |
| 1346564697 | Shore Health Services, Inc | Family Medicine | 9507 Hospital Ave, Nassawadox, VA 23413-0718 | 2010-03-16 |
| 1811219751 | Shore Health Services, Inc | General Practice | 9507 Hospital Ave, Nassawadox, VA 23413-0017 | 2010-02-19 |
| 1922202340 | Rebecca Laura Downey | Anesthesiology | 9507 Hospital Ave, Nassawadox, VA 23413-0017 | 2007-06-11 |
| 1043432610 | Shore Health Services, Inc | Emergency Medicine | 9507 Hospital Ave, Nassawadox, VA 23413 | 2007-05-03 |
| 1962579193 | Shore Health Services Inc | Psychiatric Unit | 9507 Hospital Ave, Nassawadox, VA 23413 | 2006-11-30 |
| 1205906864 | Shore Health Services Inc | Skilled Nursing Facility | 9507 Hospital Ave, Nassawadox, VA 23413 | 2006-11-09 |
| 1659440006 | Shirley M. Randall Inc | Anesthesiology | 9507 Hospital Ave, Nassawadox, VA 23413 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265920805 | Shawn W Butler | Hearing Instrument Specialist | 9502 Hospital Ave., Nassawadox, VA 23413 | 2018-04-30 |
| 1649726522 | John Willis Konkel | Counselor | 10129 Rogers Drive, Nassawadox, VA 23413 | 2016-08-30 |
| 1154694065 | Jeanette M Sessoms | Nurse Practitioner | 9524 Hospital Ave., Nassawadox, VA 23413 | 2012-02-23 |
| 1609990308 | Shore Health Services, Inc | Surgery | 10111 Rogers Drive, Nassawadox, VA 23413 | 2007-03-19 |
| 1447329370 | Family Practice Associates | Family Medicine | 9506 Hospital Avenue, Nassawadox, VA 23413 | 2006-11-07 |
| 1669567632 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 7114 Lankford Highway, Nassawadox, VA 23413 | 2006-10-04 |
| 1134212939 | Debra Castner | Nurse Practitioner | 9550 Hospital Ave, Po Box 923, Nassawadox, VA 23413 | 2006-10-02 |
| 1093810384 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 9550 Hospital Avenue, Nassawadox, VA 23413 | 2006-09-13 |
| 1346353570 | Federico Fernando Molera | Anesthesiology | 9507 Rogers Ave, Nassawadox, VA 23413 | 2006-08-15 |
| 1710920020 | Rayfield's Pharmacy Inc | Pharmacy | 9502 Hospital Ave, Nassawadox, VA 23413 | 2006-06-14 |
| Find all providers in zip 23413 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780813881 | Columbia-alleghany Regional Hospital Inc | Medicare Defined Swing Bed Unit | 1 Alleghany Reg Hospital Ln, Low Moor, VA 24457 | 2009-07-09 |
| 1174564389 | Pennington Gap Hma Inc | Medicare Defined Swing Bed Unit | West Morgan Avenue, Pennington Gap, VA 24277 | 2006-06-09 |
| 1205807690 | Emporia Hospital Corporation | Medicare Defined Swing Bed Unit | 727 N Main St, Emporia, VA 23847-1274 | 2006-02-01 |
| 1295370328 | Bon Secours Mercy Health Franklin LLC | Medicare Defined Swing Bed Unit | 100 Fairview Dr, Franklin, VA 23851-1238 | 2019-11-13 |
| 1194360263 | Bon Secours Mercy Health Emporia LLC | Medicare Defined Swing Bed Unit | 727 N Main St, Emporia, VA 23847-1274 | 2019-11-13 |
| 1609226539 | Chesapeake Hospital LLC | Medicare Defined Swing Bed Unit | 101 Harris Rd, Kilmarnock, VA 22482-3880 | 2016-06-22 |
| 1023459252 | Valerie Vanessa Hatcher | Medicare Defined Swing Bed Unit | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2013-07-16 |
| 1679847503 | Dlp Twin County Regional Healthcare LLC | Medicare Defined Swing Bed Unit | 200 Hospital Dr, Galax, VA 24333-2227 | 2012-02-23 |
| 1831412030 | Clinch Valley Medical Center, Inc. | Medicare Defined Swing Bed Unit | 6801 Governor Gc Peery Hwy, Richlands, VA 24641-2194 | 2010-03-03 |
| 1346477379 | Carilion Tazewell Community Hospital | Medicare Defined Swing Bed Unit | 141 Ben Bolt Ave, Tazewell, VA 24651-9700 | 2009-06-17 |
| Find all providers with the same taxonomy | ||||
| City | NASSAWADOX |
| Zip Code | 23413 |
Please comment or provide details below to improve the information on SHORE HEALTH SERVICES INC.
| 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.