SHORE HEALTH SERVICES INC (NPI# 1962579193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962579193 |
| Entity Type | Organization |
| Organization Name | SHORE HEALTH SERVICES INC |
| Other Organization Name | SHORE MEMORIAL HOSPITAL |
| Practice Address |
9507 Hospital Ave Nassawadox VA 23413 |
| Mailing Address |
Po Box 17 9507 Hospital Ave Nassawadox VA 23413 |
| Practice Telephone | 7574148702 |
| Practice Fax Number | 7574148335 |
| Mailing Telephone | 7574148702 |
| Mailing Fax Number | 7574148335 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT P YEARTY (CFO) |
| Authorized Official Telephone | 7574148756 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | ========= | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4900375 | 05 | |
| VA | ANTHEM | 000040 | 01 |
| Other Name | Type Code |
|---|---|
| Shore Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851798409 | Shore Health Services Inc | General Acute Care Hospital | 10085 William F Bernart Circle, Nassawadox, VA 23413 | 2014-11-25 |
| 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 |
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 |
| 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 |
| 1659440006 | Shirley M. Randall Inc | Anesthesiology | 9507 Hospital Ave, Nassawadox, VA 23413 | 2006-11-07 |
| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326594524 | Virginia Commonwealth University Health System | Psychiatric Unit | 1300 E. Marshall Street, Suite 275 3rd F, Richmond, VA 23298 | 2016-08-28 |
| 1528005691 | Lewis-gale Medical Center, LLC | Psychiatric Unit | 1902 Braeburn Dr, Salem, VA 24153-7304 | 2006-05-31 |
| 1922004530 | Chesapeake Hospital Corporation | Psychiatric Unit | 101 Harris Rd, Kilmarnock, VA 22482-3880 | 2005-06-28 |
| 1467097535 | Bon Secours Mercy Health Emporia LLC | Psychiatric Unit | 727 N Main St, Emporia, VA 23847-1274 | 2019-11-13 |
| 1477018893 | Pulaski Community Hospital, Inc. | Psychiatric Unit | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2019-02-11 |
| 1790135622 | Chesapeake Hospital LLC | Psychiatric Unit | 101 Harris Rd, Kilmarnock, VA 22482-3880 | 2016-06-22 |
| 1902274681 | Southwestern Virginia Mental Health Institute | Psychiatric Unit | 340 Bagley Cir, Marion, VA 24354-3126 | 2015-09-11 |
| 1164815544 | Chippenham & Johnston-willis Hospitals, Inc. | Psychiatric Unit | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2015-03-10 |
| 1790178176 | Columbia/hca John Randolph, Inc. | Psychiatric Unit | 411 W Randolph Rd, Hopewell, VA 23860-2938 | 2015-03-10 |
| 1609269083 | Lewis-gale Medical Center, LLC | Psychiatric Unit | 1902 Braeburn Dr, Salem, VA 24153-7304 | 2015-03-10 |
| 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.