Organization
SHORE HEALTH SERVICES, INC
Active
Parent organization
SHORE HEALTH SERVICES, INC
Other names
Riverside Shore Medical Center at Metompkin
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHORE HEALTH SERVICES, INC
Authorized official
SUSAN MCANDREWS (VP/ADMINISTRATOR)
(757) 414-8000
Entity
Organization
Contact information
Practice address
17385 LANKFORD HWY, PARKSLEY, VA 23421
(757) 665-5996
(757) 665-5973
Mailing address
17385 LANKFORD HWY, PARKSLEY, VA 23421
(757) 665-5996
(757) 665-5973
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7610408
—
VA
Enumeration date
05/23/2006
Last updated
09/05/2013
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