COMMUNITY MEMORIAL HEALTHCENTER (NPI# 1750447009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750447009 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HEALTHCENTER |
| Other Organization Name | CMH SPECIALTY CLINIC |
| Practice Address |
140 E Ferrell St South Hill VA 23970-2102 |
| Mailing Address |
142 E Ferrell St South Hill VA 23970-2102 |
| Practice Telephone | 4347742400 |
| Enumeration Date | 2006-12-29 |
| 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 | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89016G6 | 05 |
| Other Name | Type Code |
|---|---|
| CMH Specialty Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255405015 | Community Memorial Healthcenter | Psychiatric Unit | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2006-11-20 |
| 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 |
140 E FERRELL ST |
| City | SOUTH HILL |
| State | VA |
| Zip Code | 23970-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447588090 | Janet Lee Biancardi | Registered Nurse | 140 E Ferrell St, South Hill, VA 23970-2102 | 2009-11-19 |
| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417334640 | Rabia Gill | Internal Medicine | 5504 Riverside Heights Way, Richmond, VA 23225-2477 | 2015-04-27 |
| 1821495656 | Arthritis and Rheumatology Clinical Center of Northern Virginia, Pllc | Internal Medicine | 8130 Boone Blvd Ste 340, Vienna, VA 22182-2640 | 2014-11-21 |
| 1225441363 | Peter Ellis Lipsky | Internal Medicine | 1545 London Rd, Charlottesville, VA 22901-8881 | 2014-06-06 |
| 1457770216 | Nishant Desai | Internal Medicine | 9221 Stony Crest Cir Apt 325, Richmond, VA 23235-6894 | 2014-04-09 |
| 1588902399 | Janaki Pinakin Patel | Internal Medicine | 70 Medical Center Cir Ste 201, Fishersville, VA 22939 | 2013-01-29 |
| 1477804680 | Collaborative Arthritis Care, Inc | Internal Medicine | 300a Temple Lake Dr Ste 1, Colonial Heights, VA 23834-2972 | 2012-09-27 |
| 1598020935 | Stacy Tanner | Internal Medicine | 850 Enterprise Pkwy Ste 2000, Hampton, VA 23666-6252 | 2012-07-11 |
| 1922366012 | Advanced Arthritis and Rheumatology Care, PC | Internal Medicine | 2324 Colony Crossing Pl, Midlothian, VA 23112-4280 | 2012-04-26 |
| 1669783221 | Timothy James Henshaw | Internal Medicine | 6335 Corntassel Ln, Roanoke, VA 24018-5625 | 2010-06-29 |
| 1396063319 | Yousef Zarbalian | Internal Medicine | 6800 Fleetwood Rd Ste 110, Mc Lean, VA 22101-3604 | 2010-05-14 |
| 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.