Organization
COMMUNITY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ALLEN (VICE PRESIDENT)
(804) 628-1338
Entity
Organization
Contact information
Practice address
1755 N MECKLENBURG AVENUE, SOUTH HILL, VA 23970-1431
(434) 447-3151
Mailing address
PO BOX 90, SOUTH HILL, VA 23970-0090
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055
ANTHEM SWING
—
05
—
004900987
—
VA
Enumeration date
11/20/2006
Last updated
08/31/2022
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