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Organization
SHENANDOAH MEMORIAL HOSPITAL, INC.
Active
Organization
SHENANDOAH MEMORIAL HOSPITAL, INC.
Active
Other names
Valley Health Shenandoah Memorial Hospital Multispecialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR)
(540) 536-0103
Entity
Organization
Contact information
Practice address
759 S MAIN ST, WOODSTOCK, VA 22664-1127
(540) 459-1124
(540) 459-1120
Mailing address
759 S MAIN ST, WOODSTOCK, VA 22664-1127
(540) 459-1124
(540) 459-1120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/22/2006
Last updated
06/03/2021
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