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CH03072N EASTERN SHORE RURAL HEALTH SYSTEM, INCORPORATED (Active)
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Main Details
Name
EASTERN SHORE RURAL HEALTH SYSTEM, INCORPORATED
Subdivision Name
Kiptopeke Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034774
340B ID
CH03072N
Grant Number
H80CS00791
Additional Details
Current Program Status
Active
Registration Date
8/7/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/21/2023
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
24023 Fairview Rd
Cape Charles, VA 23310-2153
Billing Address
Eastern Shore Rural Health System Inc.
20280 Market St
Onancock, VA 23417
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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