Eastern Shore Rural Health System Incorporated
Organization Active NPI Federally Qualified Health Center (FQHC) · Cape Charles, VA
NPI 1972250595 · NPPES record last updated Mar 22, 2023
Key facts
- NPI
- 1972250595
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED
- Practice address
- 24023 Fairview Rd
Cape Charles, VA 23310-2153 - Phone
- (757) 331-1048
- NPI assigned
- Mar 3, 2022
- Organization subpart
- No
Authorized official
- Name
- Jeannette Edwards
- Title
- Chief Executive Officer
- Phone
- (757) 414-0400
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Eastern Shore Rural Health System Incorporated
Locations
24023 Fairview Rd
Cape Charles, VA 23310
Phone (757) 331-1048
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
24023 Fairview Rd
Cape Charles, VA 23310-2153
Mailing address
20280 Market St
Onancock, VA 23417-1331
Phone (757) 414-0400
Other names
- Kiptopeke Dental
Other providers in Cape Charles, VA
- Mark Gregory Clarke
- Coastal Craftsman Builders, LLC
- Rebecca Ellen Creed
- Carma Turlington Dabinett
- David Fred Dalessio
- Focus Optical Boutique LLC
- Jeffrey Edward Gosda
- James Willie Jenkins
- Joyful Memories Home Health Care
- Thomas Lewis
All providers in Cape Charles, VA · Federally Qualified Health Center (FQHC) in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2023. 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.