EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED (NPI# 1568592426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568592426 |
Entity Type | Organization |
Organization Name | EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED |
Other Organization Name | ONLEY COMMUNITY HEALTH CENTER |
Practice Address |
20306 Badger Lane Onley VA 23418 |
Mailing Address |
20280 Market St Onancock VA 23417-1331 |
Practice Telephone | 7577877374 |
Practice Fax Number | 7577874513 |
Mailing Telephone | 7574140400 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2015-05-28 |
Authorized Official Name | NANCY STERN (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 7577877374 |
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 | 007600011 | 05 |
Other Name | Type Code |
---|---|
Onley 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 |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED | 20280 Market St, Onancock, Virginia 23417-1331 |
Street Address |
20306 BADGER LANE |
City | ONLEY |
State | VA |
Zip Code | 23418 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386622611 | Thomas Hollandsworth | Family Medicine | 20306 Badger Lane, Onley, VA 23418 | 2006-01-06 |
1689172975 | Victoria Renee Willis Houtrouw | Physician Assistant | 20306 Badger Lane, Onley, VA 23418 | 2018-02-01 |
1104241678 | Jennifer Fowler Lucas | Physician Assistant | 20306 Badger Lane, Onley, VA 23418-0159 | 2014-02-20 |
1619226438 | Lucas Allen Fussell | Nurse Practitioner | 20306 Badger Lane, Onley, VA 23418-0159 | 2012-09-07 |
1649546037 | Gabriella Ferraioli Richardson | Pediatrics | 20306 Badger Lane, Onley, VA 23418 | 2012-03-29 |
1013216266 | Thomas Bradley Murray | Internal Medicine | 20306 Badger Lane, Onley, VA 23418 | 2011-03-26 |
1851605885 | Erin Lawrence Bender | Physician Assistant | 20306 Badger Lane, Onley, VA 23418-0159 | 2010-08-02 |
1477700169 | Sandra Hearn | Nurse Practitioner | 20306 Badger Lane, Onley, VA 23418 | 2008-08-25 |
1669405502 | Margaret M Stiles | Family Medicine | 20306 Badger Lane, Onley, VA 23418-2341 | 2006-07-07 |
1063476471 | Albert J Halls | Family Medicine | 20306 Badger Lane, Onley, VA 23418-0159 | 2006-04-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649741224 | Rudy's Taxicab Services, LLC | Non-emergency Medical Transport (VAN) | 25570 Pennsylvania Ave, Onley, VA 23418 | 2018-12-08 |
1114315447 | Shore Health Services, Inc | Hospice Care, Community Based | 25379 Lankford Highway, Suite A, Onley, VA 23418 | 2015-01-09 |
1881013050 | Ti Home Health, Inc | Home Health | 25306 Lankford Highway, Onley, VA 23418 | 2014-04-15 |
1427316173 | Manouchehr Naderpour | Pharmacist | 25096 Lankford Hwy, Onley, VA 23418 | 2012-05-01 |
1326337205 | Christine Agar Muhic | Pharmacist | 25096 Lankford Highway, Onley, VA 23418 | 2011-03-31 |
1356584171 | Nicole Briggs Marsh | Pediatrics | 20306 Badger Ln, Onley, VA 23418 | 2009-04-09 |
1831351774 | Spencer Grissom Shelley | Dentist | 25485 Lankford Highway, Onley, VA 23418 | 2008-07-01 |
1194986422 | Onley Volunteer Fire & Rescue Company Incorporated | Ambulance | 25489 Maple Street, Onley, VA 23418 | 2008-06-19 |
1396846754 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 25201 Lankford Hwy, Onley, VA 23418 | 2006-09-26 |
1053360529 | Shore Health Services, Inc | Home Health | 25379 Lankford Hwy, Suite B, Onley, VA 23418 | 2006-05-10 |
Find all providers in zip 23418 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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.