Organization
SHENANDOAH MEMORIAL HOSPITAL, INC.
Active
Parent organization
SHENANDOAH MEMORIAL HOSPITAL, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHENANDOAH MEMORIAL HOSPITAL, INC.
Authorized official
RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR)
(540) 536-0103
Entity
Organization
Contact information
Practice address
759 S MAIN ST, WOODSTOCK, VA 22664-1154
(540) 459-1100
Mailing address
220 CAMPUS BLVD STE 200, WINCHESTER, VA 22601-2889
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
VA
207V00000X
Obstetrics & Gynecology Physician
—
VA
207X00000X
Orthopaedic Surgery Physician
—
VA
207Y00000X
Otolaryngology Physician
—
VA
208600000X
Surgery Physician
Primary
—
VA
208800000X
Urology Physician
—
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
VA
Other
Enumeration date
02/28/2018
Last updated
03/17/2018
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