| Shore Memorial Hospital | |
|
9507 Hospital Ave Nassawadox VA 23413 | |
| (757) 414-8702 | |
| (757) 414-8335 |
| Full Name | Shore Memorial Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 9507 Hospital Ave, Nassawadox, Virginia |
| Authorized Official Name and Position | Robert P Yearty (CFO) |
| Authorized Official Contact | 7574148756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Memorial Hospital Po Box 17 9507 Hospital Ave Nassawadox VA 23413 Ph: (757) 414-8702 | Shore Memorial Hospital 9507 Hospital Ave Nassawadox VA 23413 Ph: (757) 414-8702 |
| NPI Number | 1962579193 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962579193 | NPI | - | NPPES |
| 000040 | Other | VA | ANTHEM |
| 4900375 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
National Alternative Community Health Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9506 Hospital Avenue, Nassawadox, VA 23413 Phone: 704-574-8182 | |
John D Ogram Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10150 Rogers Drive, Nassawadox, VA 23413 Phone: 757-442-2504 Fax: 757-442-9099 |