# COMMUNITY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669551545
- **Authorized official:** ELIZABETH ALLEN (VICE PRESIDENT)
- **Authorized official phone:** (804) 628-1338

## Contact information

- **Practice address:** 1755 N MECKLENBURG AVENUE, SOUTH HILL, VA 23970-1431
- **Practice address phone:** (434) 447-3151
- **Mailing address:** PO BOX 90, SOUTH HILL, VA 23970-0090
- **Mailing address phone:** (434) 447-3151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 08/31/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004970292 | — | VA |
| 01 | — | 006339 | ANTHEM | — |
