EASTVILLE COMMUNITY HEALTH CENTER
NPI 1396876975
Clinic/Center - Federally Qualified Health Center (FQHC) in Eastville, VA
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, 2028 and lists Jeannette Edwards, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eastville Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
36Medicare enrollment records show 36 clinicians reassign Medicare billing to Eastville Community Health Center, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 36Eastville, VA 23347
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, VAFrequently 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 1396876975. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Eastville Community Health Center.
Where is Eastern Shore Rural Health System Incorporated located?
Eastern Shore Rural Health System Incorporated is located at 17068 Lankford Highway, Eastville, VA 23347. The listed phone number is (757) 331-1086.
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.
Is Eastern Shore Rural Health System Incorporated enrolled in Medicare?
Yes. Eastern Shore Rural Health System Incorporated is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eastern Shore Rural Health System Incorporated?
According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 7 Medicare specialties reassign their Medicare billing to Eastern Shore Rural Health System Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (20), Family Practice (8) and Pediatric Medicine (3). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Eastern Shore Rural Health System Incorporated hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D0228192) is associated with this NPI, valid through September 5, 2028. 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.
# Eastville Community Health Center · NPI 1396876975
Federally Qualified Health Center (FQHC) organization in Eastville, Virginia. Organization record, active in the CMS NPPES registry since March 8, 2007.
## Identity
- **NPI:** 1396876975 (Entity type: Organization)
- **Enumerated:** March 8, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Eastern Shore Rural Health System Incorporated
- **Organization subpart:** No
- **Authorized official:** Jeannette Edwards, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 17068 LANKFORD HIGHWAY, Eastville, VA 23347-0098
- **Phone:** (757) 331-1086 · **Fax:** (757) 442-9505
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 36 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (20), Family Practice (8), Pediatric Medicine (3); 8 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1396876975/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2023
- **Other identifiers:** Medicaid 007600194 (VA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396876975) · Data from the CMS NPPES public registry.