SHENANDOAH MEMORIAL HOSPITAL INC. – Rural Health Clinic/Center, NPI 1053842468

SHENANDOAH MEMORIAL HOSPITAL INC. is a healthcare provider. based in Mount jackson, Virginia. specializing in Rural Health Clinic/Center. The NPI Number for SHENANDOAH MEMORIAL HOSPITAL INC. is 1053842468

Main info

Organization
Name
SHENANDOAH MEMORIAL HOSPITAL INC.
NPI
1053842468
Phone
(540) 459-1350
Address
5173 MAIN ST
Authorized Official
RENEE Y BAKER MANGER, INSURANCE CREDENTIALING
Enumeration Date
27 March 2017
Last Update Date
6 April 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:9State licenses:0Digital endpointsOther names

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Provider Addresses for SHENANDOAH MEMORIAL HOSPITAL INC.

  • Main Street, Mount Jackson, Shenandoah County, Virginia, 22842, United States

    MOUNT JACKSON, VA 228429513

    Phone: (540) 459-1350

    Fax: (540) 459-1351

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040115001156OClinic/Group PracticeVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22842)

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Reviews

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Frequently asked questions

How is SHENANDOAH MEMORIAL HOSPITAL INC. identified in CMS data?
CMS-hosted NPPES data lists SHENANDOAH MEMORIAL HOSPITAL INC. with NPI 1053842468.
Does CMS list SHENANDOAH MEMORIAL HOSPITAL INC. as active?
Yes — SHENANDOAH MEMORIAL HOSPITAL INC. is active in the NPI listing used on this page.
What is SHENANDOAH MEMORIAL HOSPITAL INC.'s primary classification?
Rural Health Clinic/Center is the headline specialty for SHENANDOAH MEMORIAL HOSPITAL INC. here. Clinical services aligned with this taxonomy classification.
What area does SHENANDOAH MEMORIAL HOSPITAL INC. serve?
SHENANDOAH MEMORIAL HOSPITAL INC.'s listing highlights Mount Jackson, Virginia; more addresses can appear in NPPES.
Why does SHENANDOAH MEMORIAL HOSPITAL INC. have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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