Organization
EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED
Active
Other names
Atlantic Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE EDWARDS (CHIEF EXECUTIVE OFFICER)
(757) 414-0400
Entity
Organization
Contact information
Practice address
5219 LANKFORD HWY, NEW CHURCH, VA 23415-3332
(757) 824-5676
(757) 824-5872
Mailing address
20280 MARKET ST, ONANCOCK, VA 23417-1331
(757) 414-0401
(757) 414-0569
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007695187
—
VA
Enumeration date
03/08/2007
Last updated
03/22/2023
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