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CH03072D EASTERN SHORE RURAL HEALTH SYSTEM, INC (Active)
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Main Details
Name
EASTERN SHORE RURAL HEALTH SYSTEM, INC
Subdivision Name
EASTVILLE COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029754
340B ID
CH03072D
Grant Number
H80CS00791
Additional Details
Current Program Status
Active
Registration Date
10/1/1999
Participating Start Date
10/1/1999
Participating Approval Date
5/19/2005
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
17068 LANKFORD HIGHWAY
EASTVILLE, VA 23347
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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April 2025
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