Organization
PAGE MEMORIAL HOSPITAL, INC.
Active
Other names
Valley Health Page Memorial Hospital Family Medicine- Shenandoah
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY CUBBAGE (CREDENTIALING CORRDINATOR)
(540) 536-1867
Entity
Organization
Contact information
Practice address
505 WILLIAMS AVE, SHENANDOAH, VA 22849-1263
(540) 652-9100
(540) 652-9119
Mailing address
505 WILLIAMS AVE, SHENANDOAH, VA 22849-1263
(540) 652-9100
(540) 652-9119
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010275709
—
VA
01
—
192126
ANTHEM
VA
Enumeration date
11/28/2007
Last updated
12/19/2016
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