RIVERSIDE SHORE MEDICAL CENTER AT METOMPKIN
NPI 1427003185
Clinic/Center - Rural Health in Parksley, VA

Q: What is Shore Health Services, Inc's NPI number?

The NPI number for Shore Health Services, Inc is 1427003185. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Riverside Shore Medical Center At Metompkin.

Q: What is Shore Health Services, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since May 23, 2006CLIA 49D0904375 · Waiver

17385 LANKFORD HWY, PARKSLEY, VA 23421(757) 665-5996(757) 665-5973 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Riverside Shore Medical Center At Metompkin NPPES

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

RIVERSIDE SHORE MEDICAL CENTER AT METOMPKIN (NPI 1427003185) is a healthcare organization registered as a rural health in Parksley, Virginia and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Susan Mcandrews, Vp/administrator, as its authorized official.

NPPES Registry Identity

NPI1427003185

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameSHORE HEALTH SERVICES, INC

Location Address17385 LANKFORD HWYParksley, VA 23421

Mailing Address17385 Lankford HwyParksley, VA 23421 · (757) 665-5996 · Fax (757) 665-5973

Phone(757) 665-5996

Fax(757) 665-5973

Organization SubpartYes

Authorized OfficialSusan McandrewsVp/administrator · (757) 414-8000

Enumeration DateMay 23, 2006

Last NPPES UpdateSeptember 5, 2013

✔ NPI 1427003185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

17385 LANKFORD HWY, Parksley, VA 23421

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Other Names 1

Doing Business AsRiverside Shore Medical Center At Metompkin

Other Identifiers 1

Medicaid7610408VA

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 49D0904375

Riverside Shore Medical Center At Metompkin · Parksley, VA

Active · expires Jun 22, 2027

CLIA Number49D0904375

Laboratory TypePhysician Office

Certificate Effective DateJune 23, 2025

Certificate Expiration DateJune 22, 2027

Laboratory DirectorDerek B. Clark

Laboratory Phone(757) 665-5996

Laboratory LocationRiverside Shore Medical Center At Metompkin17385 Lankford Highway, Parksley, VA 23421

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MEGAN CAMPBELL FNP-C

Nurse Practitioner (Family)