Organization
COMMUNITY MEMORIAL HOSPITAL
Active
Parent organization
COMMUNITY MEMORIAL HOSPITAL
Other names
Community Memorial Hospital Pavilion
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEMORIAL HOSPITAL
Authorized official
ELIZABETH ALLEN (VICE PRESIDENT)
(804) 628-1338
Entity
Organization
Contact information
Practice address
125 BUENA VISTA CIR, SOUTH HILL, VA 23970-1431
(434) 774-2400
Mailing address
PO BOX 90, SOUTH HILL, VA 23970-0090
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225100
ANTHEM
—
05
—
6901342
—
NC
Enumeration date
12/14/2006
Last updated
08/31/2022
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