| Metompkin Elementary School Dental Program | |
|
24501 Parksley Rd Parksley VA 23421-2519 | |
| (757) 665-1159 | |
| (757) 665-1846 |
| Full Name | Metompkin Elementary School Dental Program |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 24501 Parksley Rd, Parksley, 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 |
|---|---|
| Metompkin Elementary School Dental Program 20280 Market St Onancock VA 23417-1331 Ph: (757) 414-0431 | Metompkin Elementary School Dental Program 24501 Parksley Rd Parksley VA 23421-2519 Ph: (757) 665-1159 |
| NPI Number | 1043463227 |
|---|---|
| Provider Enumeration Date | 10/31/2008 |
| Last Update Date | 03/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043463227 | NPI | - | NPPES |
| 008450552 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Riverside Shore Medical Center At Metompkin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17385 Lankford Hwy, Parksley, VA 23421 Phone: 757-665-5996 Fax: 757-665-5973 | |
Riverside Shore Medical Center - Metompkin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17385 Lankford Hwy, Parksley, VA 23421 Phone: 757-665-7229 Fax: 757-665-7396 |