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
125 BUENA VISTA CIR, SOUTH HILL, VA 23970-1431
(434) 774-2400
Mailing address
PO BOX 90, SOUTH HILL, VA 23970-0090
(434) 774-2400
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008530483
—
VA
Enumeration date
11/03/2006
Last updated
08/31/2022
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