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Shenandoah Memorial Hospital, Inc.

Organization Active NPI Family Medicine Physician · Strasburg, VA

NPI 1710494331 · NPPES record last updated Jan 20, 2025

Key facts

NPI
1710494331
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
SHENANDOAH MEMORIAL HOSPITAL, INC.
Practice address
33699 Old Valley Pike Ste D
Strasburg, VA 22657-3893
Phone
(540) 459-1410
Fax
(540) 459-1406
NPI assigned
Jan 4, 2018
Organization subpart
No

Authorized official

Name
Renee Nevada Johnson
Title
Credentialing Coordinator
Phone
(540) 536-0103

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 5

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

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 111

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

View all 111

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in VA

Rural health clinic certification: CCN 493435

Legal name
SHENANDOAH MEMORIAL HOSPITAL, INC.
Doing business as
VALLEY HEALTH PRIMARY CARE STRASBURG
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 28, 2018
Last certification
Dec 28, 2018
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Incorporated
Aug 29, 1946 in VA
Enrollment address
33699 Old Valley Pike
Ste D
Strasburg, VA 22657-3711
Related CCNs
491305

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shenandoah Memorial Hospital, Inc.
Organization · Woodstock, VA
Corporation 		5% Or Greater Direct Ownership Interest Apr 1, 2018 100%
Robert M Amos
Individual 		Corporate Officer Oct 4, 2009
Jill Chambers
Individual 		W-2 Managing Employee Apr 1, 2018

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Valley Health Shenandoah Memorial Hospital Pediatrics
Woodstock, VA · CCN 493426		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Shenandoah Memorial Hospital, Inc.
Woodstock, VA · CCN 493427		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
Valley Health Shenandoah Memorial Hospital Multispecialty Clinic
New Market, VA · CCN 493424		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040115001156 VA Part B Supplier - Clinic/Group Practice 2466360375 Receives reassigned benefits from 455 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Strasburg, VA; Woodstock, VA; New Market, VA; Mount Jackson, VA; Luray, VA
O20181108000930 VA Part a Provider - Rural Health Clinic 2466360375 Practice locations: Strasburg, VA

National Provider Directory

Specialties & licenses

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

Addresses

Primary practice location

33699 Old Valley Pike Ste D
Strasburg, VA 22657-3893

Mailing address

220 Campus Blvd Ste 320
Winchester, VA 22601-2889
Phone (540) 536-0231

Other names

  • Valley Health Primary Care Strasburg Doing business as

Other providers in Strasburg, VA

All providers in Strasburg, VA · Family Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.