Organization
COMMUNITY MEMORIAL HEALTHCENTER
Active
Organization
COMMUNITY MEMORIAL HEALTHCENTER
Active
Other names
Community memorial Psych Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE TATUM JR. (VP OF FINANCE, CFO)
(434) 774-2400
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
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055
ANTHEM PSYCH
—
05
—
004900987
—
VA
Enumeration date
11/20/2006
Last updated
08/31/2022
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