Organization
COMMUNITY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA NOEL (FACILITY ENROLLMENT SUPERVISOR)
(434) 594-8991
Entity
Organization
Contact information
Practice address
1755 N MECKLENBURG AVENUE, SOUTH HILL, VA 23970-1431
(434) 584-5410
(434) 584-5455
Mailing address
PO BOX 787755, PHILADELPHIA, PA 19178-7755
(434) 447-3151
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
282NR1301X
Rural Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055
ANTHEM PROVIDER #
VA
05
—
004900987
—
VA
Enumeration date
04/13/2006
Last updated
03/02/2026
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