EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED (NPI# 1396876975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396876975 |
| Entity Type | Organization |
| Organization Name | EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED |
| Other Organization Name | EASTVILLE COMMUNITY HEALTH CENTER |
| Practice Address |
17068 Lankford Highway Eastville VA 23347-0098 |
| Mailing Address |
20280 Market St Onancock VA 23417-1331 |
| Practice Telephone | 7573311086 |
| Practice Fax Number | 7574429505 |
| Mailing Telephone | 7574140400 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | NANCY J 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 | 007600194 | 05 |
| Other Name | Type Code |
|---|---|
| Bayview Community Health Center | Doing Business As Name - Organization |
| Eastville 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 |
| 1194856765 | Eastern Shore Rural Health System Incorporated | Clinic/Center | 9159 Franktown Road, Franktown, VA 23354 | 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 |
17068 LANKFORD HIGHWAY |
| City | EASTVILLE |
| State | VA |
| Zip Code | 23347-0098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902884257 | Cathy Riopel | Pediatrics | 17068 Lankford Highway, Eastville, VA 23347 | 2006-01-06 |
| 1558985275 | Christina Ulloa | Dentist | 17068 Lankford Highway, Eastville, VA 23347 | 2020-05-29 |
| 1972142743 | Rayfield's Pharmacy Inc | Pharmacy | 17068 Lankford Highway, Eastville, VA 23347 | 2019-12-27 |
| 1447730429 | Emily Patrick | Physician Assistant | 17068 Lankford Highway, Eastville, VA 23347 | 2018-08-18 |
| 1891145645 | Ian Christopher Giles | Family Medicine | 17068 Lankford Highway, Eastville, VA 23347 | 2016-06-13 |
| 1376738930 | Kelly M Washburn | Family Medicine | 17068 Lankford Highway, Eastville, VA 23347 | 2007-09-07 |
| 1154309409 | David Riopel | Pediatrics | 17068 Lankford Highway, Eastville, VA 23347 | 2006-01-06 |
| 1336127539 | Joan Lingen | Family Medicine | 17068 Lankford Highway, Eastville, VA 23347 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134624455 | Heather B. Haley | Nurse Practitioner | 17068 Lankford Hwy., Eastville, VA 23347 | 2018-03-28 |
| 1790112837 | Family Preservation Services, Inc. | Community/Behavioral Health | 16041 Courthouse Road, Eastville, VA 23347 | 2013-10-03 |
| 1639506777 | Family Preservation Services, Inc. | Case Management | 16041 Courthouse Road, Eastville, VA 23347 | 2013-10-03 |
| 1336190180 | Linda G Philpot | Internal Medicine | 17001 Courthouse Rd., Eastville, VA 23347-0035 | 2006-05-15 |
| 1891968020 | Eastville Medical Care, Plc | Internal Medicine | 17001 Courthouse Rd., Eastville, VA 23347-0035 | 2008-04-09 |
| 1366714271 | Northampton County Board of Supervisors | Ambulance | 13294 Lankford Highway, Eastville, VA 23347-0235 | 2012-02-08 |
| 1164405502 | Julia Annette Johnson Rayfield | Internal Medicine | 16366 Courthouse Road, Eastville, VA 23347-1349 | 2005-11-21 |
| 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 |
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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.