METOMPKIN ELEMENTARY SCHOOL DENTAL PROGRAM
NPI 1043463227
Clinic/Center - Federally Qualified Health Center (FQHC) in Parksley, VA

Active since October 31, 2008CLIA 49D2314771 · Waiver
24501 PARKSLEY RD, PARKSLEY, VA 23421(757) 665-1159(757) 665-1846 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

About Metompkin Elementary School Dental Program NPPES

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

METOMPKIN ELEMENTARY SCHOOL DENTAL PROGRAM (NPI 1043463227) is a healthcare organization registered as a federally qualified health center (fqhc) in Parksley, Virginia and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through November 26, 2026 and lists Jeannette Edwards, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1043463227
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED
Location Address24501 PARKSLEY RDParksley, VA 23421-2519
Mailing Address20280 Market StOnancock, VA 23417-1331 · (757) 414-0431 · Fax (757) 414-0569
Fax(757) 665-1846
Organization SubpartNo
Authorized OfficialJeannette EdwardsChief Executive Officer · (757) 414-0400
Enumeration DateOctober 31, 2008
Last NPPES UpdateMarch 22, 20232 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
NPI 1043463227 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
24501 PARKSLEY RD, Parksley, VA 23421

Other Names 1

Doing Business AsMetompkin Elementary School Dental Program

Other Identifiers 1

Medicaid008450552VA

Accepted 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 of Waiver 49D2314771

Metompkin Elementary School Health · Parksley, VA
Active · expires Nov 26, 2026
CLIA Number49D2314771
Laboratory TypeSchool/Student Health Service
Certificate Effective DateNovember 27, 2024
Certificate Expiration DateNovember 26, 2026
Laboratory DirectorJoan K. Lingen
Laboratory Phone(757) 414-0400
Laboratory LocationMetompkin Elementary School Health24501 Parksley Road, Parksley, VA 23421
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Speech-Language Pathologist
24501 PARKSLEY RD
PARKSLEY, VA 23421
Dentist (General Practice)
24501 PARKSLEY RD
PARKSLEY, VA 23421
Dentist (General Practice)
24501 PARKSLEY RD
PARKSLEY, VA 23421

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Shore Rural Health System Incorporated's NPI number?

The NPI number for Eastern Shore Rural Health System Incorporated is 1043463227. It was assigned to this organization in the NPPES registry on October 31, 2008. The provider is doing business as Metompkin Elementary School Dental Program.

Where is Eastern Shore Rural Health System Incorporated located?

Eastern Shore Rural Health System Incorporated is located at 24501 Parksley Rd, Parksley, VA 23421. The listed phone number is (757) 665-1159.

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.

Does Eastern Shore Rural Health System Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2314771) is associated with this NPI, valid through November 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eastern Shore Rural Health System Incorporated accept?

Health plans from UnitedHealthcare list Eastern Shore Rural Health System Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eastern Shore Rural Health System Incorporated was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.