Eastville Community Health Center
LBN: Eastern Shore Rural Health System Incorporated
Eastville Community Health Center is an health care organization with primary practice located at 17068 Lankford Highway , Eastville VA 23347-0098. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Eastern Shore Rural Health System Incorporated can be contacted via phone (757) 331-1086, or through Edwards, Jeannette via phone (757) 414-0400.
Contact Information
Primary practice address
17068 Lankford Highway
Eastville VA 23347-0098
Phone: (757) 331-1086
Fax: (757) 442-9505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1396876975 |
|---|---|
| LBN Legal business name | Eastern Shore Rural Health System Incorporated |
| DBA Doing business as | Eastville Community Health Center |
| Authorized official | Edwards, Jeannette |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Mar 22nd, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396876975 | NPPES |
| Virginia | MEDICAID | 007600194 |
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