Organization
COMMUNITY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH LIBBY 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
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142850
ANTHEM LAB
VA
Enumeration date
11/20/2006
Last updated
07/01/2014
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