Organization Name: | SHORE HEALTH SERVICES INC. |
NPI Number: | 1619076916 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH ZAGER (ADMINISTRATOR) |
Mailing Address: | 9507 Hospital Ave Nassawadox |
State: | VA US |
Postal Code: | 234130017 |
Phone Number: | 7574148000 |
Fax Number: | 7574148363 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 12/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | H1901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |