Page Memorial Hospital Inc.

Organization Active NPI Rural Health Clinic/Center · Washington, VA

NPI 1639552995 · NPPES record last updated Jun 24, 2021

Key facts

NPI
1639552995
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
PAGE MEMORIAL HOSPITAL INC.
Practice address
12699 Lee Hwy
Washington, VA 22747
Phone
(540) 987-5068
Fax
(540) 987-5070
NPI assigned
Jul 6, 2015
Organization subpart
No

Authorized official

Name
Mr. Nelson T Clark
Title
President
Phone
(540) 743-8080

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 75

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

Locations

135 Memorial Dr
Luray, VA 22835
Phone (540) 743-2887

12699 Lee Hwy
Washington, VA 22747
Phone (540) 987-5068

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X H1926 VA
Rural Health Clinic/Center 261QR1300X VA Yes

Addresses

Primary practice location

12699 Lee Hwy
Washington, VA 22747

Mailing address

12699 Lee Hwy
Washington, VA 22747-1931
Phone (540) 987-5068

Other names

  • Valley Health/Page Memorial Hospital/ Family Medicine/Washington Doing business as

Other providers in Washington, VA

All providers in Washington, VA · Rural Health Clinic/Center in Virginia

Sources for this page

Verify at the official NPI Registry.