Shore Health Services Inc
Organization Active NPI Psychiatric Hospital Unit · Nassawadox, VA
NPI 1962579193 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1962579193
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- Legal business name
- SHORE HEALTH SERVICES INC
- Practice address
- 9507 Hospital Ave
Nassawadox, VA 23413 - Phone
- (757) 414-8702
- Fax
- (757) 414-8335
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert P Yearty
- Title
- Cfo
- Phone
- (757) 414-8756
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Yes |
Addresses
Primary practice location
9507 Hospital Ave
Nassawadox, VA 23413
Mailing address
PO Box 17
9507 Hospital Ave
Nassawadox, VA 23413
Phone (757) 414-8702
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000040 | Other | VA | ANTHEM |
| 4900375 | Medicaid | VA |
Other names
- Shore Memorial Hospital
Other providers in Nassawadox, VA
- Shirley M. Randall Inc
- Shore Health Services Inc
- Shore Health Services Inc
- Shore Health Services Inc
- Shore Health Services Inc
- Shore Health Services, Inc
- Shore Health Services, Inc
- Shore Health Services, Inc
- Shore Health Services, Inc
- Shore Health Services, Inc
All providers in Nassawadox, VA · Psychiatric Hospital Unit in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.