Organization Name: | PAGE MEMORIAL HOSPITAL |
NPI Number: | 1740529296 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | N. TRAVIS CLARK (PRESIDENT/CEO) |
Mailing Address: | 250 Memorial Dr Suite C Luray |
State: | VA US |
Postal Code: | 228351000 |
Phone Number: | 5408434624 |
Fax Number: | 5408434626 |
NPI Enumeration Date: | 02/04/2013 |
NPI Last Update Date: | 10/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |