EASTVILLE COMMUNITY HEALTH CENTER
NPI 1396876975
Clinic/Center - Federally Qualified Health Center (FQHC) in Eastville, 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 49D0228192 · Microscopy

17068 LANKFORD HIGHWAY, EASTVILLE, VA 23347(757) 331-1086(757) 442-9505 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

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About Eastville Community Health Center NPPES

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

EASTVILLE COMMUNITY HEALTH CENTER (NPI 1396876975) is a healthcare organization registered as a federally qualified health center (fqhc) in Eastville, Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through September 5, 2026 and lists Jeannette Edwards, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1396876975

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameEASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED

Location Address17068 LANKFORD HIGHWAYEastville, VA 23347-0098

Mailing Address20280 Market StOnancock, VA 23417-1331 · (757) 414-0400 · Fax (757) 414-0569

Phone(757) 331-1086

Fax(757) 442-9505

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 1396876975 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

17068 LANKFORD HIGHWAY, Eastville, VA 23347

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Other Names 1

Doing Business AsEastville Community Health Center

Other Identifiers 1

Medicaid007600194VA

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) 49D0228192

Eastville Community Health Center · Eastville, VA

Active · expires Sep 5, 2026

CLIA Number49D0228192

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 6, 2024

Certificate Expiration DateSeptember 5, 2026

Laboratory DirectorJynnifer L. Albano

Laboratory Phone(757) 331-1086

Laboratory LocationEastville Community Health Center17068 Lankford Highway, Eastville, VA 23347

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.

Other Providers at the Same Location NPPES 19

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

SUZANNE E OMROD MSN, RN, ANP-BC

Nurse Practitioner (Adult Health)