Community Memorial Healthcenter

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

COMMUNITY MEMORIAL HEALTHCENTER

Practice address

125 Buena Vista Cir
South Hill, VA 23970-1431

Phone

(434) 774-2400

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ronnie Tatum Jr.

Title

VP of Finance, Cfo

Phone

(434) 774-2400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Community memorial Psych Unit Other name

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1255405015",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BUENA VISTA CIR",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701431",
            "telephone_number": "434-774-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HEALTHCENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "VP OF FINANCE, CFO",
        "authorized_official_telephone_number": "434-774-2400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PSYCH",
            "identifier": "000055",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004900987",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community memorial Psych Unit",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Community memorial Psych Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in South Hill, VA
• Psychiatric Hospital Unit 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.