| Eastern Shore Rural Health System Incorporated. | |
|
20280 Market St Onancock VA 23417-1331 | |
| (757) 414-0400 | |
| (757) 414-0569 |
| Full Name | Eastern Shore Rural Health System Incorporated. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 20280 Market St, Onancock, Virginia |
| Authorized Official Name and Position | Jeannette Edwards (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7574140400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Shore Rural Health System Incorporated. 20280 Market St Onancock VA 23417-1331 Ph: (757) 414-0400 | Eastern Shore Rural Health System Incorporated. 20280 Market St Onancock VA 23417-1331 Ph: (757) 414-0400 |
| NPI Number | 1174502967 |
|---|---|
| Provider Enumeration Date | 01/11/2006 |
| Last Update Date | 03/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174502967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Riverside Medical Group - Shore Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20486 Market Street, Onancock, VA 23417 Phone: 757-302-2700 Fax: 757-787-9262 |