Organization Name: | SHENANDOAH MEMORIAL HOSPITAL, INC. |
NPI Number: | 1033166442 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FLOYD HEATER (PRESIDENT) |
Mailing Address: | 759 S Main St Woodstock |
State: | VA US |
Postal Code: | 226641127 |
Phone Number: | 5404591120 |
Fax Number: | 5404591121 |
NPI Enumeration Date: | 05/30/2006 |
NPI Last Update Date: | 01/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | H 1900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |