SHORE HEALTH SVC INC (NPI# 1861403990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861403990 |
Entity Type | Organization |
Organization Name | SHORE HEALTH SVC INC |
Other Organization Name | SHORE MEMORIAL HOSPITAL |
Practice Address |
9507 Hospital Ave Nassawadox VA 23413 |
Practice Telephone | 7574148781 |
Practice Fax Number | 7574426295 |
Mailing Telephone | 7574148781 |
Mailing Fax Number | 7574426295 |
Enumeration Date | 2006-08-11 |
Last Update Date | 2016-04-21 |
Authorized Official Name | JAMES DAVIS (DIRCTR) |
Authorized Official Telephone | 7574148667 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
0201001224 | VA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2103118 | 01 | |
VA | 4900375 | 05 |
Other Name | Type Code |
---|---|
SHORE MEMORIAL HOSPITAL | Doing Business As Name - Organization |
Street Address |
9507 HOSPITAL AVE |
City | NASSAWADOX |
State | VA |
Zip Code | 23413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588655302 | James Kaye | Specialist | 9507 Hospital Ave, Nassawadox, VA 23413 | 2005-11-01 |
1174883474 | Sentara Medical Group | Internal Medicine | 9507 Hospital Ave, Nassawadox, VA 23413-0017 | 2012-05-21 |
1447556097 | Riverside Physician Services Inc | Internal Medicine | 9507 Hospital Ave, 3rd Floor, Nassawadox, VA 23413 | 2011-01-31 |
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 |
1922202340 | Rebecca Laura Downey | Anesthesiology | 9507 Hospital Ave, Nassawadox, VA 23413-0017 | 2007-06-11 |
1043432610 | Shore Health Services, Inc | Emergency Medicine | 9507 Hospital Ave, Nassawadox, VA 23413 | 2007-05-03 |
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 |
Find all providers in the same location |
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 | 3336I0012X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Institutional Pharmacy |
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497842306 | Rx South LLC | Pharmacy | 12230 Iron Bridge Rd, Suite C, Chester, VA 23831-1534 | 2006-10-10 |
1144283094 | Southwestern Virginia Mental Health Institute | Pharmacy | 340 Balgey Circle, Marion, VA 24354-3102 | 2006-04-11 |
1407081979 | Apexcare Lp | Pharmacy | 240 Corporate Blvd, Suite 101, Norfolk, VA 23502-4900 | 2009-05-27 |
1467589234 | Sentara Hospitals | Pharmacy | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2007-02-27 |
1386745842 | Inova Health System | Pharmacy | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2006-09-26 |
1992748255 | Mary Washington Healthcare Services Inc | Pharmacy | 1101 Sam Perry Blvd, Suite 120, Fredericksburg, VA 22401-4467 | 2006-06-14 |
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.