RIVERSIDE SHORE MEMORIAL HOSPITAL – NPI #1619076916
General Acute Care Hospital

RIVERSIDE SHORE MEMORIAL HOSPITAL is a general acute care hospital located in ONANCOCK, VA. NPPES has assigned the NPI number 1619076916 to RIVERSIDE SHORE MEMORIAL HOSPITAL on September 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RIVERSIDE SHORE MEMORIAL HOSPITAL” is a dba name, the actual legal business name for this organization is SHORE HEALTH SERVICES INC.. The primary taxonomy selected by this provider is 282NR1301X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Rural

The NPI profile was previously updated about 5 years ago on May 04, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RIVERSIDE SHORE MEMORIAL HOSPITAL below.

NPI Profile for
SHORE HEALTH SERVICES INC.

NPI Number
1619076916
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHORE HEALTH SERVICES INC.
Doing Business As (dba): RIVERSIDE SHORE MEMORIAL HOSPITAL
Primary location
20480 MARKET ST
ONANCOCK, VA 23417
Phone: (757) 302-2100 Fax:
Mailing address
608 DENBIGH BLVD STE 800
NEWPORT NEWS, VA 23608-4487
Phone: (757) 875-7545 Fax: (757) 875-7553
Organization Subpart
No
Authorized Official
WALTER AUSTIN
CFO
Phone: (757) 875-7545
Updated
Certification Date
Apr 30, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for RIVERSIDE SHORE MEMORIAL HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEMVA0000000000040
OTHERDMAS-SKILLEDVA004951638
OTHERMEDICARE ACUTE CAREVA490037
MEDICAIDVA004900375
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NR1301X
- General Acute Care Hospital / Rural (Primary)		 VA H1901

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669