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CH03072G EASTERN SHORE RURAL HEALTH SYSTEMS INC (Active)
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Main Details
Name
EASTERN SHORE RURAL HEALTH SYSTEMS INC
Subdivision Name
CHINCOTEAGUE ISLAND COMM HLTH CTR
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004326
340B ID
CH03072G
Grant Number
H80CS00791
Additional Details
Current Program Status
Active
Registration Date
2/4/2011
Participating Start Date
4/1/2011
Participating Approval Date
2/7/2011
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Eastern Shore Rural Health System Inc.
Jeannette Edwards, CEO-Intrim
(757) 414-0400 Ext: 1112
Primary Contact
Eastern Shore Rural Health System, Inc.
KIMBERLY Bloxom SAVAGE, CHIEF COMPLIANCE OFFICER
(757) 414-0400 Ext: 108
Addresses
Street Address
4049 Main St
Chincoteague Island, VA 23336-2406
Billing Address
EASTERN SHORE RURAL HEALTH SYSTEM, INC
20280 Market Street
Onancock, VA 23417
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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