Pungoteague Elementary School Dental Program
LBN: Eastern Shore Rural Health System Incorporated
Pungoteague Elementary School Dental Program is an health care organization with primary practice located at 28480 Bobtown Rd , Melfa VA 23410-3508. 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) 789-7777, or through Edwards, Jeannette via phone (757) 414-0400.
Contact Information
Primary practice address
28480 Bobtown Rd
Melfa VA 23410-3508
Phone: (757) 789-7777
Fax: (757) 789-7778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1881847135 |
|---|---|
| LBN Legal business name | Eastern Shore Rural Health System Incorporated |
| DBA Doing business as | Pungoteague Elementary School Dental Program |
| Authorized official | Edwards, Jeannette |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 30th, 2008 |
| 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 | 1881847135 | NPPES |
| Virginia | MEDICAID | 008450552 |
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