ATLANTIC COMMUNITY HEALTH CENTER
NPI 1043341613
Clinic/Center - Federally Qualified Health Center (FQHC) in New Church, VA

Q: What is Eastern Shore Rural Health System Incorporated's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since March 08, 2007CLIA 49D0228468 · Microscopy

5219 LANKFORD HWY, NEW CHURCH, VA 23415(757) 824-5676(757) 824-5872 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2023, Mar 3, 2022 (2 updates tracked since 2022).

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About Atlantic Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATLANTIC COMMUNITY HEALTH CENTER (NPI 1043341613) is a healthcare organization registered as a federally qualified health center (fqhc) in New Church, Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through December 22, 2027 and lists Jeannette Edwards, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1043341613

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameEASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED

Location Address5219 LANKFORD HWYNew Church, VA 23415-3332

Mailing Address20280 Market StOnancock, VA 23417-1331 · (757) 414-0401 · Fax (757) 414-0569

Phone(757) 824-5676

Fax(757) 824-5872

Organization SubpartNo

Authorized OfficialJeannette EdwardsChief Executive Officer · (757) 414-0400

Enumeration DateMarch 8, 2007

Last NPPES UpdateMarch 22, 20232 updates tracked since enumeration

NPPES CertifiedMarch 22, 2023

✔ NPI 1043341613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

5219 LANKFORD HWY, New Church, VA 23415

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Other Names 1

Doing Business AsAtlantic Community Health Center

Other Identifiers 1

Medicaid007695187VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D0228468

Atlantic Community Health Center · New Church, VA

Active · expires Dec 22, 2027

CLIA Number49D0228468

Laboratory TypeOther

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorJeanne R. Roll

Laboratory Phone(757) 824-5676

Laboratory LocationAtlantic Community Health Center5219 Lankford Highway, New Church, VA 23415

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY W HARTMAN RDH

Dental Hygienist