NPIMap

Organization Active NPI

Page Memorial Hospital Inc.

  • Critical Access Hospital
  • Luray, VA
National Provider Identifier
1780880971
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
PAGE MEMORIAL HOSPITAL INC.
Practice address
200 Memorial Dr
Luray, VA 22835-1000
Phone
(540) 743-4561
Fax
(540) 743-9560
NPI assigned
Jun 25, 2007
Last updated
Feb 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

200 Memorial Dr
Luray, VA 22835-1000

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2896

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090618000751 VA Part A Provider - Critical Access Hospital 8426951203 Practice locations: Luray, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780880971. Details of each certification follow.

Hospital certification: CCN 49Z307

Legal name
PAGE MEMORIAL HOSPITAL INC
Organization structure
OtherNon-profit
Incorporated
Dec 17, 1925 in VA
Enrollment address
200 Memorial Drive
Luray, VA 22835-1000
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Page Memorial Hosptial7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

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
Nelson T Clark Individual Corporate Director Dec 31, 2008
W-2 Managing Employee Dec 31, 2008
Valley Health System Organization, Winchester, VA 5% Or Greater Direct Ownership Interest Dec 31, 2008
Jill Chambers Individual W-2 Managing Employee Sep 1, 2017

Facilities with the same owner 19

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

View all 19

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1780880971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEMORIAL DR",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228351000",
            "telephone_number": "540-743-4561",
            "fax_number": "540-743-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGE MEMORIAL HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2022-02-24",
        "certification_date": "2021-02-08",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luray, VA

Sources for this page

Verify at the official NPI Registry.