| Eastern Shore Rural Health System Incorporated | |
|
20306 Badger Lane Onley VA 23418 | |
| (757) 787-7374 | |
| (757) 787-4513 |
| Full Name | Eastern Shore Rural Health System Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 20306 Badger Lane, Onley, 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 |
|---|---|
| Eastern Shore Rural Health System Incorporated 20280 Market St Onancock VA 23417-1331 Ph: (757) 414-0400 | Eastern Shore Rural Health System Incorporated 20306 Badger Lane Onley VA 23418 Ph: (757) 787-7374 |
| NPI Number | 1568592426 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 03/22/2023 |
| Medicare PECOS PAC ID | 2668380106 |
|---|---|
| Medicare Enrollment ID | O20051122000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568592426 | NPI | - | NPPES |
| 007600011 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Eastern Shore Rural Health System Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20330 Warrior Dr, Onley, VA 23418 Phone: 757-787-3494 |