EASTERN SHORE CARE SERVICES
NPI 1699068783
Clinic/Center - Ambulatory Surgical in Fairhope, AL

Q: What is Eastern Shore Care Services's NPI number?

The NPI number for Eastern Shore Care Services is 1699068783. It was assigned to this organization in the NPPES registry on May 23, 2011.

Q: What is Eastern Shore Care Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since May 23, 2011CLIA 01D2109847 · Waiver

411 N SECTION ST, FAIRHOPE, AL 36532(251) 928-9090(251) 990-0520 Get Directions Write a Review

NPPES record last updated: July 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2019, Jun 4, 2019 (2 updates tracked since 2019).

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About Eastern Shore Care Services NPPES

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

EASTERN SHORE CARE SERVICES (NPI 1699068783) is a healthcare organization registered as an ambulatory surgical in Fairhope, Alabama and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists William R Staggers, President Owner, as its authorized official.

NPPES Registry Identity

NPI1699068783

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameEASTERN SHORE CARE SERVICES

Location Address411 N SECTION STFairhope, AL 36532-2649

Mailing Address2935 Thousand Oaks Dr Ste 294San Antonio, TX 78247-3563 · (210) 494-1100 · Fax (251) 929-2500

Phone(251) 928-9090

Fax(251) 990-0520

Organization SubpartNo

Authorized OfficialWilliam R StaggersPresident Owner · (251) 929-7850

Enumeration DateMay 23, 2011

Last NPPES UpdateJuly 17, 20192 updates tracked since enumeration

✔ NPI 1699068783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

411 N SECTION ST, Fairhope, AL 36532

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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 01D2109847

Eastern Shore Cosmetic Surgery · Fairhope, AL

Active · expires Mar 2, 2028

CLIA Number01D2109847

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 3, 2026

Certificate Expiration DateMarch 2, 2028

Laboratory DirectorJames R. Koehler MD

Laboratory Phone(251) 929-7850

Laboratory LocationEastern Shore Cosmetic Surgery7541 Cipriano Court, Fairhope, AL 36532

CLIA data matches this NPI record on: Phone

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

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Other Providers at the Same Location NPPES 14

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

GULF HEALTH HOSPITALS, INC

Clinic/Center (Ambulatory Surgical)