| Community Memorial Hospital Pavilion | |
|
125 Buena Vista Cir South Hill VA 23970-1431 | |
| (434) 774-2400 | |
| Not Available |
| Full Name | Community Memorial Hospital Pavilion |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 125 Buena Vista Cir, South Hill, Virginia |
| Authorized Official Name and Position | Elizabeth Allen (VICE PRESIDENT) |
| Authorized Official Contact | 8046281338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Memorial Hospital Pavilion Po Box 90 South Hill VA 23970-0090 Ph: () - | Community Memorial Hospital Pavilion 125 Buena Vista Cir South Hill VA 23970-1431 Ph: (434) 774-2400 |
| NPI Number | 1225190317 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 08/31/2022 |
| Certification Date | 08/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225190317 | NPI | - | NPPES |
| 225100 | Other | ANTHEM | |
| 6901342 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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