Provider Demographics
NPI:1740529296
Name:PAGE MEMORIAL HOSPITAL
Entity type:Organization
Organization Name:PAGE MEMORIAL HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:N.
Authorized Official - Middle Name:TRAVIS
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-843-4540
Mailing Address - Street 1:250 MEMORIAL DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:LURAY
Mailing Address - State:VA
Mailing Address - Zip Code:22835-1000
Mailing Address - Country:US
Mailing Address - Phone:540-843-4624
Mailing Address - Fax:540-843-4626
Practice Address - Street 1:250 MEMORIAL DR
Practice Address - Street 2:SUITE C
Practice Address - City:LURAY
Practice Address - State:VA
Practice Address - Zip Code:22835-1000
Practice Address - Country:US
Practice Address - Phone:540-843-4624
Practice Address - Fax:540-843-4626
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALLEY HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-02-04
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health