| Riverside Shore Medical Center At Metompkin | |
|
17385 Lankford Hwy Parksley VA 23421 | |
| (757) 665-5996 | |
| (757) 665-5973 |
| Full Name | Riverside Shore Medical Center At Metompkin |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 17385 Lankford Hwy, Parksley, Virginia |
| Authorized Official Name and Position | Susan Mcandrews (VP/ADMINISTRATOR) |
| Authorized Official Contact | 7574148000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Shore Medical Center At Metompkin 17385 Lankford Hwy Parksley VA 23421 Ph: (757) 665-5996 | Riverside Shore Medical Center At Metompkin 17385 Lankford Hwy Parksley VA 23421 Ph: (757) 665-5996 |
| NPI Number | 1427003185 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 09/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427003185 | NPI | - | NPPES |
| 7610408 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Metompkin Elementary School Dental Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24501 Parksley Rd, Parksley, VA 23421 Phone: 757-665-1159 Fax: 757-665-1846 | |
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 |