SHORE HEALTH SERVICES, INC (NPI# 1427003185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427003185 |
| Entity Type | Organization |
| Organization Name | SHORE HEALTH SERVICES, INC |
| Other Organization Name | RIVERSIDE SHORE MEDICAL CENTER AT METOMPKIN |
| Practice Address |
17385 Lankford Hwy Parksley VA 23421 |
| Practice Telephone | 7576655996 |
| Practice Fax Number | 7576655973 |
| Mailing Telephone | 7576655996 |
| Mailing Fax Number | 7576655973 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-09-05 |
| Authorized Official Name | SUSAN MCANDREWS (VP/ADMINISTRATOR) |
| Authorized Official Telephone | 7574148000 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHORE HEALTH SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 7610408 | 05 |
| Other Name | Type Code |
|---|---|
| Riverside Shore Medical Center at Metompkin | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114315447 | Shore Health Services, Inc | Hospice Care, Community Based | 25379 Lankford Highway, Suite A, Onley, VA 23418 | 2015-01-09 |
| 1609990308 | Shore Health Services, Inc | Surgery | 10111 Rogers Drive, Nassawadox, VA 23413 | 2007-03-19 |
| 1053360529 | Shore Health Services, Inc | Home Health | 25379 Lankford Hwy, Suite B, Onley, VA 23418 | 2006-05-10 |
| 1982925640 | Shore Health Services, Inc | Anesthesiology | 9507 Hospital Avenue, Nassawadox, VA 23413-0736 | 2010-06-17 |
| 1336468727 | Shore Health Services, Inc | Counselor | 23379 Commerce Dr, Accomac, VA 23301-1314 | 2010-05-25 |
| 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 |
| 1326288069 | Shore Health Services, Inc | Internal Medicine | 9524 Hospital Avenue, Nassawadox, VA 23413 | 2009-02-20 |
| 1043432610 | Shore Health Services, Inc | Emergency Medicine | 9507 Hospital Ave, Nassawadox, VA 23413 | 2007-05-03 |
| Street Address |
17385 LANKFORD HWY |
| City | PARKSLEY |
| State | VA |
| Zip Code | 23421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916113 | Vicki B Parker | Nurse Practitioner | 17385 Lankford Hwy, Parksley, VA 23421-3882 | 2005-07-20 |
| 1942570247 | Riverside Physician Services Inc | Obstetrics & Gynecology | 17385 Lankford Hwy, Parksley, VA 23421-3882 | 2012-01-04 |
| 1689801706 | Deborah K. Van Den Berg | Clinic/Center | 17385 Lankford Hwy, Parksley, VA 23421-3882 | 2009-06-16 |
| 1548488638 | Obstetrics and Gyneocology Associates of The Eastern Shore, Inc. | Obstetrics & Gynecology | 17385 Lankford Hwy, Parksley, VA 23421-3882 | 2007-04-23 |
| 1568401610 | Daniel C Cochran | Family Medicine | 17385 Lankford Hwy, Parksley, VA 23421 | 2006-06-05 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1366791972 | Free Clinic of Franklin County | Clinic/Center | 1171 Franklin Street, Rocky Mount, VA 24151 | 2012-08-29 |
| 1487818902 | St. Mary's Health Wagon | Clinic/Center | 233 Chase St., Clintwood, VA 24228 | 2008-07-14 |
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| 1013199322 | Page Memorial Hospital, Inc. | Clinic/Center | 505 Williams Ave, Shenandoah, VA 22849-1263 | 2007-11-28 |
| 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.