Organization
PAGE MEMORIAL HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR)
(540) 536-0103
Entity
Organization
Contact information
Practice address
200 MEMORIAL DR, LURAY, VA 22835
(540) 743-4561
(540) 743-9560
Mailing address
220 CAMPUS BLVD STE 200, WINCHESTER, VA 22601-2889
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
H1880
VA
282NC0060X
Critical Access Hospital
Primary
H1880
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000027
ANTHEM BCBS
VA
05
—
004900472
—
VA
Enumeration date
06/01/2005
Last updated
08/18/2018
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