Organization
EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED
Active
Organization
EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED
Active
Other names
Kiptopeke Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE EDWARDS (CHIEF EXECUTIVE OFFICER)
(757) 414-0400
Entity
Organization
Contact information
Practice address
24023 FAIRVIEW RD, CAPE CHARLES, VA 23310-2153
(757) 331-1048
Mailing address
20280 MARKET ST, ONANCOCK, VA 23417-1331
(757) 414-0400
(757) 414-0569
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/22/2023
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