Organization Name: | SHENANDOAH MEMORIAL HOSPITAL |
NPI Number: | 1982805230 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VIRGINIA KILMER (CFO) |
Mailing Address: | 5173 Main St Mount Jackson |
State: | VA US |
Postal Code: | 228429513 |
Phone Number: | 5404774004 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | H1900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |