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Page Memorial Hospital Inc.

Organization Active NPI Critical Access Hospital · Luray, VA

NPI 1780880971 · NPPES record last updated Feb 24, 2022

Key facts

NPI
1780880971
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 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
Organization subpart
No

Authorized official

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

Other NPIs with the same Medicare PAC ID 6

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

Corporate family (same tax ID) 6

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

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

Facilities with the same owner 19

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

Practitioners 81

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

View all 81

Affiliated clinicians 2

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Hospital certification: CCN 49Z307

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

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

Medicare enrollment records

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

National Provider Directory

Tax ID family
Page Memorial Hosptial (7 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Yes

Addresses

Primary practice location

200 Memorial Dr
Luray, VA 22835-1000

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2896

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 24, 2022.

{
    "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

All providers in Luray, VA · Critical Access Hospital in Virginia

Sources for this page

Verify at the official NPI Registry.