Page Memorial Hospital Inc.
Organization Active NPI Rural Health Clinic/Center · Luray, VA
NPI 1215213640 · NPPES record last updated Feb 21, 2022
Key facts
- NPI
- 1215213640
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- PAGE MEMORIAL HOSPITAL INC.
- Practice address
- 250 Memorial Dr
Luray, VA 22835 - Phone
- (540) 843-4624
- Fax
- (540) 843-4626
- NPI assigned
- Oct 31, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- PAGE MEMORIAL HOSPITAL, INC.
Authorized official
- Name
- Renee Nevada Johnson
- Title
- Credentialing Coordinator
- Phone
- (540) 536-0103
Other NPIs on the same Medicare enrollment 11
Practitioners 18
-
Gregory S Byrd, M.D.
-
James Flinn Donecker, M.D.
-
Kayde J Guenthner, NP-C
-
Karen Elaine Marshall, CFNP
-
Rajesh Subedi, M.D.
-
Jennifer S Deviers, FNP
-
Nicole Kristen Dooley, FNP-C
-
Tiffany Lynn Good, FNP-BC
-
Ami G Jani, MD
-
Julian E. Martinez, M.D.
-
Erik Mitchell, D.O.
-
Whitney Wilkins, NP
-
Mary Beth Slagle, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040129000420 | VA | Part B Supplier - Clinic/Group Practice | 8426951203 |
Receives reassigned benefits from 386 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Stanley, VA; Shenandoah, VA; Luray, VA; Front Royal, VA |
National Provider Directory
- Part of
- Page Memorial Hosptial
Locations
625 Virginia Ave
Front Royal, VA 22630
Phone (540) 635-7991
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | VA | ||
| Family Medicine Physician |
207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
250 Memorial Dr
Luray, VA 22835
Mailing address
220 Campus Blvd Ste 100
Winchester, VA 22601-2896
Other names
- Valley Health Page Memorial Hospital Family Medicine Luray
Other providers in Luray, VA
- Page Memorial Hospital
- Page Memorial Hospital
- Page Memorial Hospital
- Page Memorial Hospital
- Page Memorial Hospital
- Page Memorial Hospital Inc.
- Page Memorial Hospital Inc.
- Page Memorial Hospital Inc.
- Page Memorial Hospital, Inc.
- Page Memorial Hospital, Inc.
All providers in Luray, VA · Rural Health Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.