EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED (NPI# 1194856765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194856765 |
Entity Type | Organization |
Organization Name | EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED |
Other Organization Name | FRANKTOWN COMMUNITY HEALTH CENTER |
Practice Address |
9159 Franktown Road Franktown VA 23354 |
Mailing Address |
20280 Market St Onancock VA 23417-1331 |
Practice Telephone | 7574424819 |
Practice Fax Number | 7574429505 |
Mailing Telephone | 7574140400 |
Mailing Fax Number | 7574140569 |
Enumeration Date | 2007-03-08 |
Last Update Date | 2014-04-14 |
Authorized Official Name | NANCY STERN (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 7574424819 |
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 | 007600054 | 05 |
Other Name | Type Code |
---|---|
Franktown 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 |
1043341613 | Eastern Shore Rural Health System Incorporated | Clinic/Center | 5219 Lankford Hwy, New Church, VA 23415-3332 | 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 |
9159 FRANKTOWN ROAD |
City | FRANKTOWN |
State | VA |
Zip Code | 23354 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821076175 | Stephanie P Shelley | Dentist | 9159 Franktown Road, Franktown, VA 23354 | 2006-01-06 |
1033407390 | Amy W Hartman | Dental Hygienist | 9159 Franktown Road, Franktown, VA 23354 | 2011-07-20 |
1407140502 | Kimberley Gise | Dentist | 9159 Franktown Road, Franktown, VA 23354 | 2011-06-06 |
1316178486 | Lakeila Tachelle Powell | Physician Assistant | 9159 Franktown Road, Franktown, VA 23354-0009 | 2009-08-06 |
1629255856 | Patricia V Tanner | Registered Nurse | 9159 Franktown Road, Franktown, VA 23354 | 2008-01-30 |
1669668240 | Carsten F Frey | Dentist | 9159 Franktown Road, Franktown, VA 23354 | 2007-09-18 |
1972660454 | Mark Sorin | Dentist | 9159 Franktown Road, Franktown, VA 23354 | 2007-01-03 |
1598867095 | Dennis Greene Savage | Dentist | 9159 Franktown Road, Franktown, VA 23354 | 2006-09-04 |
1063528990 | Nancy T Hargis | Emergency Medicine | 9159 Franktown Road, Franktown, VA 23354 | 2006-08-22 |
1134107485 | Noel Root | Dentist | 9159 Franktown Road, Franktown, VA 23354 | 2006-01-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477043230 | Tanvir Singh | Student in an Organized Health Care Education/Training Program | 9159 Main Street, Franktown, VA 23354 | 2018-05-16 |
1619329588 | Randi Wingate | Dentist | 9159 Franktown Rd., Franktown, VA 23354 | 2016-07-05 |
1801117098 | Amory Hartnett Bunce | Physical Therapy Assistant | 7781 Bayside Rd, Franktown, VA 23354 | 2010-06-22 |
1972581270 | Ellen Farrell | Nurse Practitioner | 9159 Franktown Rd, Franktown, VA 23354 | 2006-01-06 |
1427442201 | Donna Marie Hartley | Registered Nurse | 9159 Franktown Rd, Franktown, VA 23354 | 2015-03-19 |
1124149539 | Stuart Fred Mackler | Specialist | 7336 Gull Point Rd, Franktown, VA 23354-0099 | 2007-04-03 |
1124013032 | Alex M. Kordis | Dentist | 9197 Franktown Rd, Franktown, VA 23354-2254 | 2005-09-16 |
1952659765 | Childrens Hospital of The Kings Daughters Inc | Pediatrics | 9159 Franktown Rd, Franktown, VA 23354-2254 | 2012-08-28 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1962950584 | Vernon J Harris East End Community Health Center | Clinic/Center | 1800 Lynhaven Ave, Richmond, VA 23224-7734 | 2016-09-12 |
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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.