Organization
COMMUNITY MEMORIAL HEALTHCENTER
Active
Other names
Community Memorial Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE TATUM 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
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055
ANTHEM
VA
05
—
004900987
—
VA
Enumeration date
11/20/2006
Last updated
08/31/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us