Community Memorial Dialysis

LBN: Community Memorial Healthcenter
Community Memorial Dialysis is an health care organization with primary practice located at 125 Buena Vista Cir , South Hill VA 23970-1431. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Community Memorial Healthcenter can be contacted via phone (434) 774-2400, or through Tatum, Ronnie via phone (434) 774-2400.

Contact Information

Primary practice address
125 Buena Vista Cir South Hill VA 23970-1431
Phone: (434) 774-2400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tatum, Ronnie
Phone: (434) 774-2400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1851465629
LBN Legal business name Community Memorial Healthcenter
DBA Doing business as Community Memorial Dialysis
Authorized official Tatum, Ronnie
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Aug 31st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851465629 NPPES
Virginia MEDICAID 004900987
Virginia Other 000055

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