Community Memorial Hospital

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMMUNITY MEMORIAL HOSPITAL

Practice address

1755 N Mecklenburg Avenue
South Hill, VA 23970-1431

Phone

(434) 447-3151

NPI assigned

Oct 25, 2006

Last updated

Aug 31, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Allen

Title

Vice President

Phone

(804) 628-1338

Specialties & licenses 1

Addresses

Other identifiers 2

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• MCV Associated Physicians

  dba MCV Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457

  Member Of

  NPD member
• Virginia Commonwealth University Health System Authority

  • Psychiatric Hospital Unit
  • Richmond, VA
  • NPI 1750466363

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1184709586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239700090",
            "telephone_number": "434-774-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N MECKLENBURG AVENUE",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701431",
            "telephone_number": "434-447-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "804-628-1338"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "337329",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004910401",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Commonwealth Vein Clinic
• Community Living, Inc
• Community Memorial Healthcenter
• Community Memorial Healthcenter
• Community Memorial Healthcenter
• Community Memorial Hospital
• Community Memorial Hospital
• Community Memorial Hospital
• Community Memorial Hospital
• Community Memorial Hospital

• Community Based Hospice Care Agency in South Hill, VA
• Providers in South Hill, VA by specialty
• Community Based Hospice Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.