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CH03072F EASTERN SHORE RURAL HEALTH SYSTEMS INC (Active)
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Main Details
Name
EASTERN SHORE RURAL HEALTH SYSTEMS INC
Subdivision Name
Onley Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008761
340B ID
CH03072F
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
20306 Badger Lane
Onley, VA 23418
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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6/2/2011 - ADDRESS CHANGED FROM 20280 MARKET STREET, ONANCOCK, VA 23417 AND CONTACT PERSON CHANGED FROM CAROL RIENERTH.
06/02/2011
April 2025
April 2025
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