Eastville Community Health Center | |
17068 Lankford Highway Eastville VA 23347-0098 | |
(757) 331-1086 | |
(757) 442-9505 |
Full Name | Eastville Community Health Center |
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Speciality | Clinic/Center |
Location | 17068 Lankford Highway, Eastville, Virginia |
Authorized Official Name and Position | Jeannette Edwards (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7574140400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eastville Community Health Center 20280 Market St Onancock VA 23417-1331 Ph: (757) 414-0400 | Eastville Community Health Center 17068 Lankford Highway Eastville VA 23347-0098 Ph: (757) 331-1086 |
NPI Number | 1396876975 |
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Provider Enumeration Date | 03/08/2007 |
Last Update Date | 03/22/2023 |
Medicare PECOS PAC ID | 2668380106 |
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Medicare Enrollment ID | O20051122000025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396876975 | NPI | - | NPPES |
007600194 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Northampton Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16041 Courthouse Rd, Eastville, VA 23347 Phone: 757-678-5151 | |
Eastville Medical Care, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17001 Courthouse Rd., Eastville, VA 23347 Phone: 757-678-7190 Fax: 757-678-5333 |