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CHINCOTEAGUE ISLAND COMMUNITY HEALTH CENTER
NPI 1598895542
Clinic/Center - Federally Qualified Health Center (FQHC) in Chincoteague, VA

Active since March 07, 2007CLIA 49D1006365 · Microscopy
4049 MAIN ST, CHINCOTEAGUE, VA 23336(757) 336-3682(757) 336-3703 Get Directions Write a Review

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

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

About Chincoteague Island Community Health Center NPPES

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

CHINCOTEAGUE ISLAND COMMUNITY HEALTH CENTER (NPI 1598895542) is a healthcare organization registered as a federally qualified health center (fqhc) in Chincoteague, Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through November 13, 2026 and lists Jeannette Edwards, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1598895542
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED
Location Address4049 MAIN STChincoteague, VA 23336-2406
Mailing Address20280 Market StOnancock, VA 23417-1331 · (757) 414-0400 · Fax (757) 414-0569
Phone(757) 336-3682
Fax(757) 336-3703
Organization SubpartNo
Authorized OfficialJeannette EdwardsChief Executive Officer · (757) 414-0400
Enumeration DateMarch 7, 2007
Last NPPES UpdateFebruary 22, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1598895542 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
4049 MAIN ST, Chincoteague, VA 23336
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Other Names 1

Doing Business AsChincoteague Island Community Health Center

Other Identifiers 1

Medicaid007604378VA

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) 49D1006365

Chincoteague Island Community Health Center · Chincoteague Island, VA
Active · expires Nov 13, 2026
CLIA Number49D1006365
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorJoan K. Lingen
Laboratory Phone(757) 336-3682
Laboratory LocationChincoteague Island Community Health Center4049 Main Street, Chincoteague Island, VA 23336
CLIA data matches this NPI record on: 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 7

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

LINDSEY SERENA PLATO-JOHNSON CRNP
Nurse Practitioner (Family)
4049 MAIN ST
CHINCOTEAGUE ISLAND, VA 23336
Accomack County (757) 336-3682
ALLISON DENSTON NP
Nurse Practitioner (Family)
4049 MAIN ST
CHINCOTEAGUE, VA 23336
Accomack County (757) 414-0400
LAUREN EVONIUK PA-C
Physician Assistant
4049 MAIN ST
CHINCOTEAGUE, VA 23336
Accomack County (757) 336-3682
JOHN WILLIAM MOORE D.O.
Family Medicine
4049 MAIN ST
CHINCOTEAGUE ISLAND, VA 23336
Accomack County (757) 336-3682
ROBERT CONIGLIO PA
Physician Assistant
4049 MAIN ST
CHINCOTEAGUE ISLAND, VA 23336
Accomack County (757) 336-3682
AVA C JOHNSON NP
Nurse Practitioner (Family)
4049 MAIN ST
CHINCOTEAGUE, VA 23336
Accomack County (757) 336-3682
HOWARD LEE HARRIS JR.
Physician Assistant (Medical)
4049 MAIN ST
CHINCOTEAGUE, VA 23336
Accomack County (757) 336-3682

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 1598895542. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider is doing business as Chincoteague Island Community Health Center.

Where is Eastern Shore Rural Health System Incorporated located?

Eastern Shore Rural Health System Incorporated is located at 4049 Main St, Chincoteague, VA 23336. The listed phone number is (757) 336-3682.

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 for Provider-Performed Microscopy Procedures (PPMP) (number 49D1006365) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eastern Shore Rural Health System Incorporated was last updated on February 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.