FRS Facility Detail Report


RIVERSIDE SHORE MEMORIAL HOSPITAL

EPA Registry Id: 110017143072
9507 HOSPITAL AVENUE
NASSAWADOX, VA 23413-0017


The facility locations displayed
come from the FRS Spatial
Coordinates tables. They are the
best representative locations for
the displayed facilities based on
the accuracy of the collection
method and quality assurance
checks performed against each
location. The North American
Datum of 1983 is used to display
all coordinates.

Environmental Interests

Information System System Facility Name Information System Id/Report Link Environmental Interest Type Data Source Last Updated Date Supplemental Environmental Interests:
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (ICIS-NPDES)
SHORE MEMORIAL HOSPITAL DEMOLITION VAR10T457 ICIS-NPDES NON-MAJOR ICIS 01/29/2024
SAFE DRINKING WATER INFORMATION SYSTEM
SHORE MEMORIAL HOSPITAL-WELL HOUSE 1 VA3131550 17962 WATER TREATMENT PLANT SFDW

NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (ICIS-NPDES)
HRSD-NASSAWADOX RIVERSIDE VAN050003 ICIS-NPDES NON-MAJOR ICIS 01/01/2022 ICIS-
ENFORCEMENT/COMPLIANCE ACTIVITY
SAFE DRINKING WATER INFORMATION SYSTEM
SHORE MEMORIAL HOSPITAL VA3131550 NON-TRANSIENT NON-COMMUNITY WATER SYSTEM SFDW

NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (ICIS-NPDES)
SHORE MEMORIAL HOSPITAL DEMOLITION VAR10T457 STORM WATER CONSTRUCTION ICIS 01/29/2024
VIRGINIA - COMPREHENSIVE ENVIRONMENTAL DATA SYSTEM
SHORE MEMORIAL HOSPITAL 200000066244 STATE MASTER CEDS
CEDS-40575
AIR PROGRAM
AIR FACILITY SYSTEM
RIVERSIDE SHORE MEMORIAL HOSPITAL 5113100014 AIR SYNTHETIC MINOR (OPERATING) AIRS/AFS 08/08/2014
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (ICIS-NPDES)
HRSD-NASSAWADOX RIVERSIDE VA0027537 ICIS-NPDES NON-MAJOR ICIS 12/01/2022 ICIS-
ENFORCEMENT/COMPLIANCE ACTIVITY
RESOURCE CONSERVATION AND RECOVERY ACT INFORMATION SYSTEM
SHORE MEMORIAL HOSP VAR000011874 VSQG (Y) RCRAINFO

SAFE DRINKING WATER INFORMATION SYSTEM
SHORE MEMORIAL HOSPITAL-WELL HOUSE 2 VA3131550 17961 WATER TREATMENT PLANT SFDW

ICIS-AIR (AIR)
RIVERSIDE SHORE MEMORIAL HOSPITAL VA0000005113100014 AIR MINOR ICIS 03/31/2015
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (ICIS-NPDES)
HRSD-NASSAWADOX RIVERSIDE VA0027537 NPDES PRETREATMENT PROGRAM ICIS 12/01/2022 ICIS-
ENFORCEMENT/COMPLIANCE ACTIVITY

Additional EPA Reports:  

MyEnvironment  Enforcement and Compliance  Facility Coordinates Viewer  Watershed Report

Standard Industrial Classification Codes (SIC)

Data Source SIC Code Description Primary
AIRS/AFS
8062
GENERAL MEDICAL AND SURGICAL HOSPITALS

AIR
8062
GENERAL MEDICAL AND SURGICAL HOSPITALS

NPDES
8062
GENERAL MEDICAL AND SURGICAL HOSPITALS

CEDS
8062
GENERAL MEDICAL AND SURGICAL HOSPITALS

NPDES
8062
GENERAL MEDICAL AND SURGICAL HOSPITALS

Facility Codes and Flags

EPA Region: 03
Duns Number:
Congressional District Number: 02
Legislative District Number: 6
HUC Code/Watershed: 02080109 / WESTERN LOWER DELMARVA
US Mexico Border Indicator:
Federal Facility: NO
Tribal Land: NO

Alternative Names

Alternative Name Source of Data
RIVERSIDE SHORE MEMORIAL HOSPI NPDES
SHORE MEMORIAL HOSP RCRAINFO

Organizations

Affiliation Type Name DUNS Number Information System Mailing Address
OTHER CONTACT
SHORE MEMORIAL HOSPITAL
CEDS
View
OWNER
SHORE HEALTH SVCS
RCRAINFO
View

National Industry Classification System Codes (NAICS)

Data Source NAICS Code Description Primary
AIR 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.
CEDS 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.
NPDES 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.
NPDES 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.
AIRS/AFS 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.

Facility Mailing Addresses

Affiliation Type Delivery Point City Name State Postal Code Information System
MAILING ADDRESS PO BOX 17 NASSAWADOX VA 23413-0017 CEDS
FACILITY MAILING ADDRESS PO BOX 17 NASSAWADOX VA 23413-0017 AIRS/AFS
REGULATORY CONTACT PO BOX 17 NASSAWADOX VA 23413-0017 RCRAINFO
OTHER CONTACT P.O. BOX 17 9507 HOSPITAL AVENUE NASSAWADDOX VA 234130017 CEDS
OTHER CONTACT 9507 HOSPITAL AVENUE NASSAWADOX VA 24060 CEDS
OTHER CONTACT PO BOX 17 NASSAWADOX VA 23413-0017 CEDS
FACILITY MAILING ADDRESS PO BOX 17 NASSAWADOX VA 23413-0017 RCRAINFO
ADMINISTRATIVE CONTACT RIVERSIDE SHORE MEMORIAL HOSPITAL ONANCOCK VA 23417 SFDW
FACILITY MAILING ADDRESS PO BOX 17 NASSAWADOX VA 23413-0017 AIR
OWNER PO BOX 17 NASSAWADOX VA 23413-0017 RCRAINFO
MAILING ADDRESS 1434 AIR RAIL AVE VIRGINIA BEACH VA 23455 NPDES

Contacts

Affiliation Type Full Name Office Phone Information System Mailing Address
COMPLIANCE CONTACT
SAMPLE, WALT
7574148000
AIRS/AFS


PRIMARY FACILITY CONTACT
LAUREN GRIMMER


NPDES


PERMITTEE
DAVID MEARS


NPDES


PERMITTEE
JOHN PETERMAN


NPDES


OTHER CONTACT
R W KERNS
7574148000
CEDS
View
COMPLIANCE CONTACT
SAMPLE, WALT
7574148000
AIR


PERMITTEE
JOSEPH P ZAGER


NPDES


PERMITTEE
MIKE CANALES


NPDES


PERMITTEE
H. PHILIP GIBB


NPDES


PERMITTEE
LAUREN GRIMMER


NPDES


PERMITTEE
EDWARD G HENIFIN


NPDES


PERMITTEE
SUSAN MCANDREWS


NPDES


OTHER CONTACT
MR. H. PHILIP GIBB
7574148000
CEDS
View
OWNER
EDWARD G HENIFIN


NPDES


OTHER CONTACT
WALT SAMPLE
7574148000
CEDS
View
UNKNOWN CONTACT
SAMPLE, WALT
7574148000
AIRS/AFS


PERMITTEE
EDWARD G HENIFIN


NPDES


OTHER CONTACT
MAINTENANCE DIRECTOR
7574148000
CEDS
View
UNKNOWN CONTACT
SAMPLE, WALT
7574148000
AIR


PERMITTEE
LAUREN GRIMMER


NPDES


PERMITTEE
MAURICE CHANDLER


NPDES


PERMITTEE
WALT SAMPLE


NPDES


PERMITTEE
EDWARD G HENIFEN


NPDES


OTHER CONTACT
MR. EUGENE I ERB
7574148765
CEDS
View
OTHER CONTACT
MR. MAURICE CHANDLER
7574148359
CEDS
View
PERMITTEE
EUGENE I ERB


NPDES


Query executed on: OCT-15-2025