# SHENANDOAH MEMORIAL HOSPITAL INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valley Health Shenandoah Memorial Hospital Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053848069
- **Authorized official:** RENEE BAKER (MANAGER, INSURANCE CREDENTIALING)
- **Authorized official phone:** (540) 536-0231

## Contact information

- **Practice address:** 759 S MAIN ST, WOODSTOCK, VA 22664-1154
- **Practice address phone:** (540) 459-1325
- **Practice address fax:** (540) 459-1326
- **Mailing address:** 759 S MAIN ST STE 106, WOODSTOCK, VA 22664-1154
- **Mailing address phone:** (540) 459-1325
- **Mailing address fax:** (540) 459-1326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2017
- **Last updated:** 07/21/2022