Organization
COMMUNITY MEMORIAL HOSPITAL
Active
Parent organization
COMMUNITY MEMORIAL HOSPITAL
Other names
Community Memorial Hospital Independent Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEMORIAL HOSPITAL
Authorized official
ELIZABETH HARLAN (DIRECTOR REVENUE CYCLE OPTIMIZATION)
(804) 828-5009
Entity
Organization
Contact information
Practice address
1755 N MECKLENBURG AVE, SOUTH HILL, VA 23970-4080
(804) 828-5009
Mailing address
PO BOX 787755, PHILADELPHIA, PA 19178-7755
(804) 828-5009
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49D2305512
CMS CLIA
VA
Enumeration date
04/07/2025
Last updated
04/07/2025
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