Organization
SHENANDOAH MEMORIAL HOSPITAL
Active
Parent organization
SHENANDOAH MEMORIAL HOSPITAL
Other names
Shenandoah Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHENANDOAH MEMORIAL HOSPITAL
Authorized official
MR. FLOYD R HEATER (CEO)
(540) 459-1100
Entity
Organization
Contact information
Practice address
759 S MAIN ST, WOODSTOCK, VA 22664-1127
(540) 459-1111
(540) 459-1293
Mailing address
759 S MAIN ST, WOODSTOCK, VA 22664-1127
(540) 459-1111
(540) 459-1293
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK0882
MEDICARE RR
VA
Enumeration date
03/23/2007
Last updated
07/07/2008
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