COMMUNITY MEMORIAL HOSPITAL (NPI# 1669551545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669551545 |
| 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 | 4344473151 |
| Enumeration Date | 2006-11-03 |
| 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 | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 006339 | 01 | |
| VA | 004970292 | 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 |
| 1184709586 | Community Memorial Hospital | Hospice Care, Community Based | 1755 N Mecklenburg Avenue, South Hill, VA 23970-1431 | 2006-10-25 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993418 | Comfort of Home Care LLC | Home Health | 200 S Hill Ave Ste 222, South Hill, VA 23970-3239 | 2020-05-14 |
| 1942385349 | Community Memorial Hospital | Home Health | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396578 | Chez-vous Homecare Team | Home Health | 8229 Boone Blvd Ste 380, Vienna, VA 22182-2623 | 2020-11-08 |
| 1285235879 | Amazing Care Home Health Services LLC | Home Health | 13310 Gladehill Rd, Chester, VA 23831-4641 | 2020-11-02 |
| 1770182271 | Acute Medical Group LLC | Home Health | 7535 Little River Tpke Ste 206a, Annandale, VA 22003-2991 | 2020-10-26 |
| 1578162517 | Riverside Health Source LLC | Home Health | 659 Hospital Rd Ste 103a, Tappahannock, VA 22560-7000 | 2020-10-21 |
| 1285233429 | Advance Home Health Services LLC | Home Health | 28 Aiden Dr, Fredericksburg, VA 22406-4348 | 2020-10-20 |
| 1932708278 | Caretrust Home Health | Home Health | 13408 Classic Ct, Woodbridge, VA 22192-4502 | 2020-10-19 |
| 1326646142 | Gilead Healthcare Services, LLC | Home Health | 17378 Sligo Loop, Dumfries, VA 22026 | 2020-10-14 |
| 1568060200 | With Loving Hands LLC | Home Health | 1213 Woodbridge Trl, Virginia Beach, VA 23453-1660 | 2020-10-14 |
| 1356949119 | Virginia Healthcare Home Services | Home Health | 6186 Edsall Rd Apt 147, Alexandria, VA 22304-5888 | 2020-10-14 |
| 1770181802 | Aspiring Angels Home Health Care | Home Health | 6924 Lakeside Ave Ste 300, Henrico, VA 23228-5240 | 2020-10-12 |
| 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.