NPIMap

Organization Active NPI

Page Memorial Hospital Inc.

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

  • Rural Health Clinic/Center
  • Washington, VA
National Provider Identifier
1639552995
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PAGE MEMORIAL HOSPITAL INC.
Doing business as
Valley Health/Page Memorial Hospital/ Family Medicine/Washington
Practice address
12699 Lee Hwy
Washington, VA 22747
Phone
(540) 987-5068
Fax
(540) 987-5070
NPI assigned
Jul 6, 2015
Last updated
Jun 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 2

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

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 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory

Member of 1

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

Locations

33674 Old Valley Pike
Strasburg, VA 22657
Phone (540) 465-2621

160 Exeter Dr
Ste 103
Winchester, VA 22603
Phone (541) 686-1600

Practitioners & affiliated clinicians

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 75

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1639552995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12699 LEE HWY",
            "city": "WASHINGTON",
            "state": "VA",
            "postal_code": "227471931",
            "telephone_number": "540-987-5068",
            "fax_number": "540-987-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12699 LEE HWY",
            "city": "WASHINGTON",
            "state": "VA",
            "postal_code": "22747",
            "telephone_number": "540-987-5068",
            "fax_number": "540-987-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGE MEMORIAL HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-743-8080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "H1926",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Health/Page Memorial Hospital/ Family Medicine/Washington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Health/Page Memorial Hospital/ Family Medicine/Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.