COMMUNITY MEMORIAL HEALTHCENTER (NPI# 1255405015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255405015 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HEALTHCENTER |
| Other Organization Name | COMMUNITY MEMORIAL PSYCH UNIT |
| Practice Address |
125 Buena Vista Cir South Hill VA 23970-1431 |
| Mailing Address |
Po Box 90 South Hill VA 23970-0090 |
| Practice Telephone | 4347742400 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RONNIE TATUM JR. (VP OF FINANCE, CFO) |
| Authorized Official Telephone | 4347742400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM PSYCH | 000055 | 01 |
| Other Name | Type Code |
|---|---|
| Community memorial Psych Unit | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750447009 | Community Memorial Healthcenter | Internal Medicine | 140 E Ferrell St, South Hill, VA 23970-2102 | 2006-12-29 |
| 1851465629 | Community Memorial Healthcenter | Clinic/Center | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2006-11-20 |
| 1487736864 | Community Memorial Healthcenter | Clinic/Center | 61 Burlington Dr, Clarksville, VA 23927-3235 | 2006-10-19 |
| Street Address |
125 BUENA VISTA CIR |
| City | SOUTH HILL |
| State | VA |
| Zip Code | 23970-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194706598 | David Hamilton Brown | Emergency Medicine | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2005-11-11 |
| 1477186088 | Megan Puckett | Occupational Therapist | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2020-02-21 |
| 1548807308 | Teresa Morgan | Occupational Therapy Assistant | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2019-11-28 |
| 1790321875 | Christina Liles | Physical Therapy Assistant | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2019-11-23 |
| 1235608175 | Heather Baisey | Physical Therapy Assistant | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2018-11-21 |
| 1396229621 | Rhonda L Maitland | Physical Therapy Assistant | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2018-09-22 |
| 1154813046 | Sally Wilson | Speech-Language Pathologist | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2018-06-05 |
| 1255822318 | Barbara L Hicks | Occupational Therapy Assistant | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2018-05-24 |
| 1780109306 | Beverly Driver | Registered Nurse | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2017-08-04 |
| 1265808877 | Jessica Jones | Nurse Practitioner | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2015-08-18 |
| Find all providers in the same location | ||||
| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326594524 | Virginia Commonwealth University Health System | Psychiatric Unit | 1300 E. Marshall Street, Suite 275 3rd F, Richmond, VA 23298 | 2016-08-28 |
| 1528005691 | Lewis-gale Medical Center, LLC | Psychiatric Unit | 1902 Braeburn Dr, Salem, VA 24153-7304 | 2006-05-31 |
| 1922004530 | Chesapeake Hospital Corporation | Psychiatric Unit | 101 Harris Rd, Kilmarnock, VA 22482-3880 | 2005-06-28 |
| 1467097535 | Bon Secours Mercy Health Emporia LLC | Psychiatric Unit | 727 N Main St, Emporia, VA 23847-1274 | 2019-11-13 |
| 1477018893 | Pulaski Community Hospital, Inc. | Psychiatric Unit | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2019-02-11 |
| 1790135622 | Chesapeake Hospital LLC | Psychiatric Unit | 101 Harris Rd, Kilmarnock, VA 22482-3880 | 2016-06-22 |
| 1902274681 | Southwestern Virginia Mental Health Institute | Psychiatric Unit | 340 Bagley Cir, Marion, VA 24354-3126 | 2015-09-11 |
| 1164815544 | Chippenham & Johnston-willis Hospitals, Inc. | Psychiatric Unit | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2015-03-10 |
| 1790178176 | Columbia/hca John Randolph, Inc. | Psychiatric Unit | 411 W Randolph Rd, Hopewell, VA 23860-2938 | 2015-03-10 |
| 1609269083 | Lewis-gale Medical Center, LLC | Psychiatric Unit | 1902 Braeburn Dr, Salem, VA 24153-7304 | 2015-03-10 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HILL |
| Zip Code | 23970 |
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| 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.