SHORE MEMORIAL HOSPITAL
NPI 1114097771
Medicare Defined Swing Bed Unit in Nassawadox, VA

NPI Status: Active since November 09, 2006

Contact Information

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

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  • Organization
  • Medicare Defined Swing Bed Unit

About SHORE MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Shore Memorial Hospital, a provider established in Nassawadox, Virginia operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1114097771 assigned on November 2006. The practitioner's primary taxonomy code is 275N00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Shore Memorial Hospital. The authorized official of this NPI record is Mr. Robert P Yearty (Cfo)

NPI
1114097771
Provider Legal Name
SHORE HEALTH SERVICES INC
Other Organization Name
SHORE MEMORIAL HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9507 HOSPITAL AVE NASSAWADOX, VA 23413
Location Phone
(757) 414-8702
Location Fax
(757) 414-8335
Mailing Address
PO BOX 17 9507 HOSPITAL AVE NASSAWADOX, VA 23413
Mailing Phone
(757) 414-8702
Mailing Fax
(757) 414-8335
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2006
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Medicare Defined Swing Bed Unit

Taxonomy Code
275N00000X
Type
Hospital Units
License State
VA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROBERT P YEARTY

Authorized Official Title
CFO
Authorized Official Phone
(757) 414-8756

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
442205OTHER (01)VAANTHEM
4951638MEDICAID (05)VA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114097771, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 0 + 9 + 1 + 4 + 7 + 1 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1114097771.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Specialist
9507 HOSPITAL AVE
NASSAWADOX, VA 23413
Anesthesiology
9507 HOSPITAL AVE
NASSAWADOX, VA 23413
Emergency Medicine
9507 HOSPITAL AVE
NASSAWADOX, VA 23413
General Practice
9507 HOSPITAL AVE
NASSAWADOX, VA 23413
Family Medicine
9507 HOSPITAL AVE
NASSAWADOX, VA 23413
Internal Medicine (Cardiovascular Disease)
9507 HOSPITAL AVE, 3RD FLOOR
NASSAWADOX, VA 23413
Internal Medicine (Cardiovascular Disease)
9507 HOSPITAL AVE
NASSAWADOX, VA 23413
Nurse Anesthetist, Certified Registered
9507 HOSPITAL AVE
NASSAWADOX, VA 23413
Pharmacy (Institutional Pharmacy)
9507 HOSPITAL AVE
NASSAWADOX, VA 23413
Skilled Nursing Facility
9507 HOSPITAL AVE
NASSAWADOX, VA 23413
Psychiatric Unit
9507 HOSPITAL AVE
NASSAWADOX, VA 23413

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114097771, enumerated as an "organization" on November 09, 2006.

The provider is located at 9507 HOSPITAL AVE NASSAWADOX, VA 23413 and the phone number is (757) 414-8702.

Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

The provider might be accepting Accepts: Anthem Blue Cross, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.