Organization
SHORE HEALTH SERVICES INC
Active
Parent organization
SHORE HEALTH SERVICES INC
Other names
Riverside Shore Cancer Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHORE HEALTH SERVICES INC
Authorized official
MR. WALTER W AUSTIN JR. (CFO)
(757) 875-7545
Entity
Organization
Contact information
Practice address
20480 MARKET ST, ONANCOCK, VA 23417-4309
(757) 302-2600
Mailing address
608 DENBIGH BOULEVARD, SUITE 800, NEWPORT NEWS, VA 23608-4487
(757) 875-7545
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H1901
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4900375
—
VA
Enumeration date
11/25/2014
Last updated
01/22/2021
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