Active NPI
Community Memorial Hospital
- Hospitalist Physician
- South Hill, VA
National Provider Identifier
1891014015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- COMMUNITY MEMORIAL HOSPITAL
- Practice address
- 1755 N Mecklenburg Avenue
South Hill, VA 23970-1431 - Phone
- (434) 447-3151
- NPI assigned
- May 27, 2010
- Last updated
- Aug 31, 2022
- Organization subpart
- Yes
- Parent organization
- COMMUNITY MEMORIAL HOSPITAL
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
1755 N Mecklenburg Avenue
South Hill, VA 23970-1431
Mailing address
1755 N Mecklenburg Avenue
South Hill, VA 23970-1431
Phone (434) 447-3151
National Provider Directory
National Provider Directory- Part of
- Community Memorial Hosp
Practitioners & affiliated clinicians
Practitioners 28
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Certified Registered Nurse Anesthetist
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- Emergency Medicine Physician
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- Family Nurse Practitioner
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- Psychiatric/Mental Health Nurse Practitioner
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661904000000",
"number": "1891014015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 N MECKLENBURG AVENUE",
"city": "SOUTH HILL",
"state": "VA",
"postal_code": "239701431",
"telephone_number": "434-447-3151"
},
{
"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": "YES",
"parent_organization_legal_business_name": "COMMUNITY MEMORIAL HOSPITAL",
"enumeration_date": "2010-05-27",
"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": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Hill, VA
Sources for this page
- 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.