NPIMap

Organization Active NPI

Shenandoah Memorial Hospital, Inc.

Doing business as Valley Health Primary Care Strasburg

  • Family Medicine Physician
  • Strasburg, VA
National Provider Identifier
1710494331
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHENANDOAH MEMORIAL HOSPITAL, INC.
Doing business as
Valley Health Primary Care Strasburg
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
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X VA Primary
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 1

  • Valley Health Primary Care Strasburg Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710494331. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Aug 29, 1946 in VA
Enrollment address
33699 Old Valley Pike
Ste D
Strasburg, VA 22657-3711
Related CCNs
491305

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

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

Locations

33699 Old Valley Pike
Strasburg, VA 22657
Phone (540) 459-1410

33699 Old Valley Pike
Ste D
Strasburg, VA 22657
Phone (540) 459-1410

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Ownership & related parties

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

Owners & managing parties with NPI records 5

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

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 PediatricsWoodstock, 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 ClinicNew Market, VA, CCN 493424 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 55

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 55

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1710494331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "telephone_number": "540-536-0231",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33699 OLD VALLEY PIKE STE D",
            "city": "STRASBURG",
            "state": "VA",
            "postal_code": "226573893",
            "telephone_number": "540-459-1410",
            "fax_number": "540-459-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "NEVADA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "540-536-0103"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Health Primary Care Strasburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Strasburg, VA

Sources for this page

Verify at the official NPI Registry.