NPIMap

Organization Active NPI

Shore Health Services Inc

  • General Acute Care Hospital
  • Onancock, VA
National Provider Identifier
1851798409
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1901 Issued in VA
Legal business name
SHORE HEALTH SERVICES INC
Practice address
20480 Market St
Onancock, VA 23417-4309
Phone
(757) 302-2600
NPI assigned
Nov 25, 2014
Organization subpart
Yes
Parent organization
SHORE HEALTH SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Mr. Walter W Austin Jr.
Title
Cfo
Phone
(757) 875-7545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H1901 VA Primary

Addresses

Primary practice location

20480 Market St
Onancock, VA 23417-4309

Mailing address

608 Denbigh Boulevard
Suite 800
Newport News, VA 23608-4487
Phone (757) 875-7545

Other identifiers 1

IdentifierTypeStateIssuer
4900375MedicaidVA

Other names 1

  • Riverside Shore Cancer Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shore Health Services Igrp6 organizations share this tax ID, including this one
Part of
Shore Health Services Igrp

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1851798409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 DENBIGH BOULEVARD",
            "address_2": "SUITE 800",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084487",
            "telephone_number": "757-875-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20480 MARKET ST",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "234174309",
            "telephone_number": "757-302-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE HEALTH SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHORE HEALTH SERVICES INC",
        "enumeration_date": "2014-11-25",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "757-875-7545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H1901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4900375",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Shore Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Shore Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Onancock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.