COMMUNITY MEMORIAL HOSPITAL (NPI# 1184709586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184709586 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HOSPITAL |
| Practice Address |
1755 N Mecklenburg Avenue South Hill VA 23970-1431 |
| Mailing Address |
Po Box 90 South Hill VA 23970-0090 |
| Practice Telephone | 4344473151 |
| Mailing Telephone | 4347742400 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | MR. KENNETH LIBBY JR. (VP OF FINANCE/CFO) |
| Authorized Official Telephone | 4345845410 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 337329 | 01 | |
| VA | 004910401 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336632280 | Community Memorial Hospital | Clinic/Center | 104 S. West Street, Edgerton, OH 43517 | 2018-06-14 |
| 1528208162 | Community Memorial Hospital | Family Medicine | 100 West 4th St, Montrose, MO 64770 | 2009-02-23 |
| 1689842478 | Community Memorial Hospital | Clinic/Center | 122 2nd St. East, Mcclusky, ND 58463-0618 | 2008-02-14 |
| 1598945867 | Community Memorial Hospital | Clinic/Center | 101 Giesler Dr, Osceola, MO 64776-6297 | 2007-11-05 |
| 1730145392 | Community Memorial Hospital | Clinic/Center | 208 Columbus Street, Hicksville, OH 43526 | 2006-04-24 |
| 1336103738 | Community Memorial Hospital | General Acute Care Hospital | 1755 N Mecklenburg Avenue, South Hill, VA 23970-1431 | 2006-04-13 |
| 1780150110 | Community Memorial Hospital | Clinic/Center | 107 Buffalo St, Antwerp, OH 45813-8434 | 2018-10-24 |
| 1164915021 | Community Memorial Hospital | Clinic/Center | 208 Columbus St, Hicksville, OH 43526-1250 | 2018-06-14 |
| 1891288866 | Community Memorial Hospital | Clinic/Center | 422 W River St, Antwerp, OH 45813-8417 | 2018-06-13 |
| 1609303692 | Community Memorial Hospital | Family Medicine | 164 Broad St, Hamilton, NY 13346-9575 | 2017-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL | 809 Jackson St, Burke, SD 57523-2065 |
| Virginia Business Entities | Community Memorial Hospital | 1755 N Mecklenburg Ave, P. O. Box 90, South Hill, Virginia 23970-4080 |
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL ASSOCIATION | 400 Caldwell St, Staunton, IL 62088-1173 |
| Virginia Business Entities | Community Memorial Hospital Foundation | 1755 N Mecklenburg Ave, South Hill, Virginia 23970-4080 |
| New York State Corporations | COMMUNITY MEMORIAL HOSPITAL FOUNDATION, INC. | 150 Broad St., Hamilton, Ny 13346 |
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL, INC. | 2731 Healthcare Dr, Syracuse, NE 68446-7880 |
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL, INCORPORATED | 800 Memorial Dr Ste 1, Spring Valley, MN 55975-1055 |
| Street Address |
1755 N MECKLENBURG AVENUE |
| City | SOUTH HILL |
| State | VA |
| Zip Code | 23970-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336103738 | Community Memorial Hospital | General Acute Care Hospital | 1755 N Mecklenburg Avenue, South Hill, VA 23970-1431 | 2006-04-13 |
| 1891014015 | Community Memorial Hospital | Hospitalist | 1755 N Mecklenburg Avenue, South Hill, VA 23970-1431 | 2010-05-27 |
| 1417021288 | Community Memorial Hospital | Medicare Defined Swing Bed Unit | 1755 N Mecklenburg Avenue, South Hill, VA 23970-1431 | 2006-11-20 |
| 1669551545 | Community Memorial Hospital | Home Health | 1755 N Mecklenburg Avenue, South Hill, VA 23970-1431 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043784606 | Elizabeth Jene Ezell | Dental Hygienist | 604 N. Thomas St., South Hill, VA 23970 | 2019-01-17 |
| 1821576901 | Mackenzie Jean Blackwell | Dental Hygienist | 604 N. Thomas St, South Hill, VA 23970 | 2018-08-01 |
| 1316459357 | Bernita Danica Boyd | Contractor | 436 Theater Rd, South Hill, VA 23970 | 2017-10-31 |
| 1194242909 | More Transport LLC | Non-emergency Medical Transport (VAN) | 651 Clearview Dr, South Hill, VA 23970 | 2017-08-23 |
| 1912423534 | Larry D Warren | Driver | 730 Hite Street, Po Box 896, South Hill, VA 23970 | 2017-08-15 |
| 1902320658 | Lakika Lyshon Hicks | Non-emergency Medical Transport (VAN) | 74 Hudgins Road, South Hill, VA 23970 | 2017-08-02 |
| 1053835561 | Vernice Luevine Lewis | Driver | 11525 Highway One, South Hill, VA 23970 | 2017-07-27 |
| 1407376924 | Building Blocks To Success LLC | Occupational Therapist | 20429 Hwy Forty-seven, South Hill, VA 23970 | 2017-06-26 |
| 1316477136 | Eric Blackwell | Driver | 248 Circle Dr, South Hill, VA 23970 | 2017-06-14 |
| 1619341443 | North View Day Support LLC | Day Training, Developmentally Disabled Services | 359 Saffold Road, South Hill, VA 23970 | 2015-11-17 |
| Find all providers in zip 23970 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112678 | A Step Above Health Services | Hospice Care, Community Based | 2450 Randolph Creek Rd, New Canton, VA 23123-2418 | 2020-10-23 |
| 1881293835 | Riverside Health Source LLC | Hospice Care, Community Based | 289 Hospital Rd, Tappahannock, VA 22560-5145 | 2020-10-21 |
| 1699373449 | Affinity Care of Virginia LLC | Hospice Care, Community Based | 714 Thimble Shoals Blvd Ste C, Newport News, VA 23606-2574 | 2020-10-14 |
| 1730786138 | Serenity First, LLC | Hospice Care, Community Based | 4915 Fitzhugh Ave, Richmond, VA 23230-3544 | 2020-10-08 |
| 1477169811 | Advance Care Hospice, LLC | Hospice Care, Community Based | 585 Southlake Blvd Ste A, North Chesterfield, VA 23236-3198 | 2020-09-21 |
| 1689285660 | Va State Transportation LLC | Hospice Care, Community Based | 11079 Quail Whistle Dr, Glen Allen, VA 23059-5200 | 2020-08-12 |
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1114550134 | Athc - Hospice, LLC | Hospice Care, Community Based | 1121 Heatherstone Dr, Fredericksburg, VA 22407-4828 | 2020-02-18 |
| 1548893951 | 24/7 We Care, LLC | Hospice Care, Community Based | 900 Granby St, Norfolk, VA 23510-2503 | 2020-02-14 |
| 1548806573 | All-4-one Home Healthcare Services, Inc. | Hospice Care, Community Based | 1629 Salem Rd Ste 101, Virginia Beach, VA 23456-5494 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HILL |
| Zip Code | 23970 |
Please comment or provide details below to improve the information on COMMUNITY MEMORIAL HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.