Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shenandoah Memorial Hospital Inc

Organization Family Medicine Physician · NPI 1053842468

Shenandoah Memorial Hospital Inc is a Family Medicine Physician in Mount Jackson, Virginia. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5173 Main St
Mount Jackson, VA 22842-9513
Phone: (540) 459-1350
Fax: (540) 459-1351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Radiology Clinic/Center Taxonomy 261QR0200X

Record details

NPI number1053842468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Baker — Manger, Insurance Credentialing · (540) 536-0231
NPI enumeratedMarch 27, 2017
Last updated in NPPESApril 6, 2020
Certification dateApril 6, 2020
Mailing address5173 Main St, Mount Jackson, VA 22842-9513

Other providers in Mount Jackson