Healthcare Provider Details

I. General information

NPI: 1770570004
Provider Name (Legal Business Name): SHENANDOAH VALLEY HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 07/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

762 S MAIN ST
WOODSTOCK VA
22664-1108
US

IV. Provider business mailing address

PO BOX 1910
WINCHESTER VA
22604-8060
US

V. Phone/Fax

Practice location:
  • Phone: 540-459-2000
  • Fax: 540-459-8540
Mailing address:
  • Phone: 540-536-5229
  • Fax: 540-536-4359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. M FRANK HEISEY
Title or Position: PRESIDENT
Credential:
Phone: 540-536-5260