SHORE HEALTH SERVICES INC (NPI# 1851798409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851798409 |
| Entity Type | Organization |
| Organization Name | SHORE HEALTH SERVICES INC |
| Other Organization Name | RIVERSIDE SHORE CANCER CENTER |
| Practice Address |
10085 William F Bernart Circle Nassawadox VA 23413 |
| Mailing Address |
608 Denbigh Boulevard Suite 800 Newport News VA 23608-4487 |
| Practice Telephone | 7578757545 |
| Mailing Telephone | 7578757545 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |
| Authorized Official Name | MR. WALTER W AUSTIN JR. (SENIOR VP/CFO) |
| Authorized Official Telephone | 7578757545 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHORE HEALTH SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | H1901 | VA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4900375 | 05 |
| Other Name | Type Code |
|---|---|
| Riverside Shore Cancer Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962579193 | Shore Health Services Inc | Psychiatric Unit | 9507 Hospital Ave, Nassawadox, VA 23413 | 2006-11-30 |
| 1114097771 | Shore Health Services Inc | Medicare Defined Swing Bed Unit | 9507 Hospital Ave, Nassawadox, VA 23413 | 2006-11-09 |
| 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 |
10085 WILLIAM F BERNART CIRCLE |
| City | NASSAWADOX |
| State | VA |
| Zip Code | 23413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225092067 | Timothy John Campbell | Radiology | 10085 William F Bernart Circle, Nassawadox, VA 23413 | 2006-04-17 |
| 1255874558 | Riverside Physician Services Inc | Radiology | 10085 William F Bernart Circle, Nassawadox, VA 23413 | 2016-11-18 |
| 1508157272 | Jennifer Bell Ross | Nurse Practitioner | 10085 William F Bernart Circle, Nassawadox, VA 23413-0979 | 2011-04-28 |
| 1740207323 | Laura Diane Kerbin | Internal Medicine | 10085 William F Bernart Circle, Nassawadox, VA 23413 | 2006-07-17 |
| 1730122417 | Shore Health Services Inc | Internal Medicine | 10085 William F Bernart Circle, Nassawadox, VA 23413 | 2006-06-13 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669445 | Virginia Hospital Center Arlington Health System | General Acute Care Hospital | 8100 Boone Blvd Ste 140, Vienna, VA 22182-2665 | 2018-02-16 |
| 1871020651 | Virginia Internal Medicine Specialists LLC | General Acute Care Hospital | 44790 Maynard Sq Ste 320, Ashburn, VA 20147-6514 | 2017-05-11 |
| 1730615816 | Sentara Healthcare | General Acute Care Hospital | 100 Ireland St, Hampton, VA 23663-2150 | 2017-05-10 |
| 1528592573 | New York Presbyterian Hospital-weill Cornell | General Acute Care Hospital | 9644 Sutton Green Ct, Vienna, VA 22181-6105 | 2017-04-17 |
| 1386181733 | Lyle Purnell | General Acute Care Hospital | 100 Emancipation Dr Bldg 146, Hampton, VA 23667-0001 | 2017-01-24 |
| 1700233855 | Debra Hafer | General Acute Care Hospital | 33290 Chincoteague Rd, Wallops Island, VA 23337-2204 | 2016-05-18 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1700248796 | Hq Surgical | General Acute Care Hospital | 905 Hathaway Ct, Chesapeake, VA 23322-7622 | 2016-03-28 |
| 1710355649 | Johnston Memorial Hospital, Inc | General Acute Care Hospital | 3175 Linden Dr Ste 3-5, Bristol, VA 24202-5849 | 2015-09-09 |
| 1184092298 | Anita Sites | General Acute Care Hospital | Uva Transplant Center 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22908-3363 | 2015-09-04 |
| Find all providers with the same taxonomy | ||||
| City | NASSAWADOX |
| Zip Code | 23413 |
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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.