Shore Health Services, Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SHORE HEALTH SERVICES, INC

Doing business as

Riverside Shore Medical Center at Metompkin

Practice address

17385 Lankford Hwy
Parksley, VA 23421

Phone

(757) 665-5996

Fax

(757) 665-5973

NPI assigned

May 23, 2006

Last updated

Sep 5, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

SHORE HEALTH SERVICES, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan McAndrews

Title

VP/Administrator

Phone

(757) 414-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Riverside Shore Medical Center at Metompkin Doing business as

Part of

Shore Health Services Igrp

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1427003185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17385 LANKFORD HWY",
            "city": "PARKSLEY",
            "state": "VA",
            "postal_code": "23421",
            "telephone_number": "757-665-5996",
            "fax_number": "757-665-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17385 LANKFORD HWY",
            "city": "PARKSLEY",
            "state": "VA",
            "postal_code": "23421",
            "telephone_number": "757-665-5996",
            "fax_number": "757-665-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHORE HEALTH SERVICES, INC",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "MCANDREWS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "VP/ADMINISTRATOR",
        "authorized_official_telephone_number": "757-414-8000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7610408",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Shore Medical Center at Metompkin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverside Physician Services Inc (Riverside Shore Medical Center - Metompkin)
• Charis Louise Robinette
• Alicia Nicole Rose, CNS, NP
• Runningers Pharmacy Inc
• Maudene Sherman, LCSW
• Shore Healthcare Group, LLC (Shore Health & Rehab Center)
• Shore Lifecare, Inc.
• Shore Transport Services Inc.
• Ebony Lea'Shay Smith, LCSW
• Deborah K. Van Den Berg, GNP

• Rural Health Clinic/Center in Parksley, VA
• Providers in Parksley, VA by specialty
• Rural Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.