SHORE HEALTH SERVICES INC NPI 1114097771

NPI Information

  • NPI: 1114097771
  • Provider Name: SHORE HEALTH SERVICES INC
  • Classification: Medicare Defined Swing Bed Unit - 275N00000X
  • Entity Type: Organization
  • Doing Business As: SHORE MEMORIAL HOSPITAL
  • Address: 9507 HOSPITAL AVE
    NASSAWADOX, VA
    ZIP 23413
  • Phone: (757) 414-8702

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NPI Details

SHORE HEALTH SERVICES INC is a medicare defined swing bed unit in Nassawadox, VA. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. SHORE HEALTH SERVICES INC NPI is 1114097771. The provider is registered as an organization entity type.
The provider Is Doing Business As Shore Memorial Hospital.

The provider's business location address is:

9507 HOSPITAL AVE
NASSAWADOX, VA
ZIP 23413
Phone: (757) 414-8702
Fax: (757) 414-8335

The provider's authorized official is Robert P Yearty .
The authorized official title is Cfo and has the following contact phone number (757) 414-8756.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1275N00000XMedicare Defined Swing Bed UnitVIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1442205OTHERVIRGINIAANTHEM
24951638MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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