| Valley Health Page Memorial Hospital Family Medicine- Shenandoah | |
|
505 Williams Ave Shenandoah VA 22849-1263 | |
| (540) 652-9100 | |
| (540) 652-9119 |
| Full Name | Valley Health Page Memorial Hospital Family Medicine- Shenandoah |
|---|---|
| Speciality | Clinic/Center |
| Location | 505 Williams Ave, Shenandoah, Virginia |
| Authorized Official Name and Position | Courtney Cubbage (CREDENTIALING CORRDINATOR) |
| Authorized Official Contact | 5405361867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Health Page Memorial Hospital Family Medicine- Shenandoah 505 Williams Ave Shenandoah VA 22849-1263 Ph: (540) 652-9100 | Valley Health Page Memorial Hospital Family Medicine- Shenandoah 505 Williams Ave Shenandoah VA 22849-1263 Ph: (540) 652-9100 |
| NPI Number | 1013199322 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 12/19/2016 |
| Medicare PECOS PAC ID | 8426951203 |
|---|---|
| Medicare Enrollment ID | O20071105000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013199322 | NPI | - | NPPES |
| 192126 | Other | VA | ANTHEM |
| 010275709 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
R.m Brothers, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 S 3rd St, Shenandoah, VA 22849 Phone: 540-652-8914 Fax: 540-652-1372 |