SHENANDOAH MEMORIAL HOSPITAL (NPI# 1982805230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982805230 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH MEMORIAL HOSPITAL |
| Other Organization Name | SHENANDOAH PHYSICAL THERAPY |
| Practice Address |
5173 Main St Mount Jackson VA 22842-9513 |
| Mailing Address |
759 S Main St Woodstock VA 22664-1127 |
| Practice Telephone | 5404774004 |
| Mailing Telephone | 5404591120 |
| Mailing Fax Number | 5404591121 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. VIRGINIA KILMER (CFO) |
| Authorized Official Telephone | 5404591120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
H1900 | VA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shenandoah Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861649287 | Shenandoah Memorial Hospital | Clinic/Center | 759 S Main St, Woodstock, VA 22664-1127 | 2008-08-27 |
| 1649444704 | Shenandoah Memorial Hospital | Surgery | 759 S Main St, Woodstock, VA 22664-1127 | 2008-04-18 |
| 1992822308 | Shenandoah Memorial Hospital | Urology | 759 S Main St, Woodstock, VA 22664-1127 | 2007-03-23 |
| 1720118680 | Shenandoah Memorial Hospital | Surgery | 759 S Main St, Woodstock, VA 22664-1127 | 2007-03-07 |
| 1437288602 | Shenandoah Memorial Hospital | Internal Medicine | 759 S Main St, Woodstock, VA 22664-1127 | 2007-03-05 |
| 1942365580 | Shenandoah Memorial Hospital | Psychiatric Unit | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2006-12-26 |
| 1508947136 | Shenandoah Memorial Hospital | Emergency Medicine | 759 S Main St, Woodstock, VA 22664-1127 | 2006-10-18 |
| 1841394566 | Shenandoah Memorial Hospital | Psychiatry & Neurology | 759 S Main St, Woodstock, VA 22664-1127 | 2006-09-12 |
| 1093819716 | Shenandoah Memorial Hospital | Anesthesiology | 759 S Main St, Woodstock, VA 22664-1127 | 2006-09-12 |
| 1497867402 | Shenandoah Memorial Hospital | Obstetrics & Gynecology | 759 S Main St, Woodstock, VA 22664-1127 | 2006-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SHENANDOAH MEMORIAL HOSPITAL | 759 South Main St, Woodstock, Virginia 22664 |
| Virginia Business Entities | SHENANDOAH MEMORIAL HOSPITAL FOUNDATION INCORPORATED | 759 S Main St, Woodstock, Virginia 22664 |
| Street Address |
5173 MAIN ST |
| City | MOUNT JACKSON |
| State | VA |
| Zip Code | 22842-9513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255318697 | Kathleen L Muiruri | Family Medicine | 5173 Main St, Mount Jackson, VA 22842-9513 | 2005-12-28 |
| 1255983052 | Jennifer See Deviers | Nurse Practitioner | 5173 Main St, Mount Jackson, VA 22842-9513 | 2019-07-11 |
| 1053842468 | Shenandoah Memorial Hospital Inc. | Radiology | 5173 Main St, Mount Jackson, VA 22842-9513 | 2017-03-27 |
| 1467740324 | Mary Danley Catlett | Nurse Practitioner | 5173 Main St, Mount Jackson, VA 22842-9513 | 2011-07-13 |
| 1750469334 | Jennifer Denise Rhodes Cunningham | Family Medicine | 5173 Main St, Mount Jackson, VA 22842-9513 | 2006-11-01 |
| 1013024603 | Mt. Jackson Family Health | Family Medicine | 5173 Main St, Mount Jackson, VA 22842-9513 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538619473 | Skyler Tyne Sharp | Nurse Practitioner | 5173 South Main Street, Mt Jackson, VA 22842 | 2016-10-04 |
| 1427109628 | Sharon Sammons Clark | Dietitian, Registered | 8006 Senedo Rd, Mount Jackson, VA 22842-2232 | 2007-01-15 |
| 1497994172 | North Mountain Dietetic Services, LLC | Dietitian, Registered | 8006 Senedo Rd, Mount Jackson, VA 22842-2232 | 2009-02-19 |
| 1952848418 | Assisting Angels Home Care LLC | Home Health | 14274 Senedo Rd, Mount Jackson, VA 22842-2408 | 2017-01-23 |
| 1205072519 | Warren A Wittig | Technician/Technologist | 215 Conicville Blvd, Mount Jackson, VA 22842-2862 | 2008-12-17 |
| 1609300870 | Simeon A Melaku | Family Medicine | 120 Medical Dr, Mount Jackson, VA 22842-9417 | 2017-04-14 |
| 1649531401 | Jason Asistores | Family Medicine | 120 Medical Dr, Mount Jackson, VA 22842-9417 | 2012-06-07 |
| 1144467796 | Ruth N. Holmaas | Nurse Practitioner | 120 Medical Dr, Mount Jackson, VA 22842-9417 | 2009-01-18 |
| 1831153121 | Nancy L. Brubaker | Nurse Practitioner | 120 Medical Dr, Mount Jackson, VA 22842-9417 | 2006-04-13 |
| 1649234048 | Janet L Polansky | Family Medicine | 120 Medical Dr, Mount Jackson, VA 22842-9417 | 2006-04-13 |
| Find all providers in zip 22842 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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| 1790399400 | Wholehealthpt LLC | Clinic/Center | 800 John Carlyle St Apt 124, Alexandria, VA 22314-6844 | 2020-09-01 |
| 1487265401 | Erin Chapman Dpt | Clinic/Center | 10 Seminole Trl, Palmyra, VA 22963-3157 | 2020-08-13 |
| 1831709500 | The Balance Center, LLC | Clinic/Center | 4002 Millcreek Dr, Annandale, VA 22003-2334 | 2020-08-06 |
| 1013527381 | Movement Is Medicine Physical Therapy and Sports Performance | Clinic/Center | 508 Connecticut Ave, Norfolk, VA 23508-2706 | 2020-08-03 |
| 1003426297 | Bal Therapy LLC | Clinic/Center | 4514 36th St S Apt B1, Arlington, VA 22206-1855 | 2020-08-03 |
| 1154948933 | My Pt and Pilates Inc | Clinic/Center | 6706 Red Jacket Rd, Springfield, VA 22152-2633 | 2020-06-29 |
| 1871117705 | Level Up Physical Therapy | Clinic/Center | 1625 Maiden Ln, Charlottesville, VA 22911-7509 | 2020-06-06 |
| 1942824297 | Heitmann Physical Therapy and Wellness | Clinic/Center | 6008 Sunset Ridge Ct, Centreville, VA 20121-3051 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT JACKSON |
| Zip Code | 22842 |
Please comment or provide details below to improve the information on SHENANDOAH MEMORIAL HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.