COMMUNITY MEMORIAL HEALTHCENTER (NPI# 1487736864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487736864 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HEALTHCENTER |
| Other Organization Name | CLARKSVILLE PRIMARY CARE CENTER |
| Practice Address |
61 Burlington Dr Clarksville VA 23927-3235 |
| Mailing Address |
Po Box 1716 Clarksville VA 23927-1716 |
| Practice Telephone | 4347742400 |
| Mailing Telephone | 4347742400 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2011-08-09 |
| Authorized Official Name | MR. KENNETH LIBBY (VP OF FINANCE/CFO) |
| Authorized Official Telephone | 4343743151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007610777 | 05 |
| Other Name | Type Code |
|---|---|
| Clarksville Primary Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750447009 | Community Memorial Healthcenter | Internal Medicine | 140 E Ferrell St, South Hill, VA 23970-2102 | 2006-12-29 |
| 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 |
| Street Address |
61 BURLINGTON DR |
| City | CLARKSVILLE |
| State | VA |
| Zip Code | 23927-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245265784 | Kirk Robert Hasenmueller | Family Medicine | 61 Burlington Dr, Clarksville, VA 23927-3235 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912252958 | Southside Csb | Intermediate Care Facility, Mentally Retarded | 143 Industrial Pky, Clarksville, VA 23927 | 2012-07-16 |
| 1730485905 | Southside Csb | Intermediate Care Facility, Mentally Retarded | 143 Industrial Pkwy, Clarksville, VA 23927 | 2011-02-04 |
| 1346306859 | Reginald S Young | Dentist | 611 Virginia Avenue, Clarksville, VA 23927 | 2006-12-29 |
| 1083792261 | Clarksville Counseling Center, Plc | Counselor | 403 Virginia Avenue, Suite F, Clarksville, VA 23927 | 2006-11-02 |
| 1396830956 | Sabrina Bullock | Midwife | 606 Virginia Avenue, Clarksville, VA 23927 | 2006-10-03 |
| 1831282946 | Food Lion LLC | Durable Medical Equipment & Medical Supplies | 1013 Virginia Ave, Clarksville, VA 23927 | 2006-10-02 |
| 1669572897 | Dominion Health Medical Assoc | Legal Medicine | 115 College St, Clarksville, VA 23927 | 2006-09-25 |
| 1255350807 | Clarksville Community Pharmacy, Inc. | Pharmacist | 11226 Hwy. 15 S., Clarksville, VA 23927 | 2006-07-18 |
| 1619974029 | Clarksville Senior Care, LLC | Skilled Nursing Facility | 184 Buffalo Rd, Clarksville, VA 23927 | 2005-06-30 |
| 1861755746 | Rachael Burton | Family Medicine | 115 College St, Clarksville, VA 23927 | 2012-06-16 |
| Find all providers in zip 23927 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930824 | Halifax Regional Hospital, Inc | Clinic/Center | 115 College St, Clarksville, VA 23927-9125 | 2020-07-28 |
| 1841808763 | Prmc Healthcare Group Inc | Clinic/Center | 201 S Walnut St, Clarksville, TX 75426-3737 | 2020-07-16 |
| 1801367149 | Hhy, LLC | Clinic/Center | 1805 Industrial Way, Clarksville, TX 75426-2564 | 2018-12-16 |
| 1104179910 | East Texas Medical Center Clarksville | Clinic/Center | 3000 W Main St, Clarksville, TX 75426-3371 | 2012-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735905 | Bay Medical & Wellness, LLC | Clinic/Center | 13794 Tidewater Trl, Saluda, VA 23149-2314 | 2020-09-17 |
| 1154948271 | Carilion Giles Community Hospital | Clinic/Center | 22890 Virgil Goode Hwy., Boones Mill, VA 24065 | 2020-07-06 |
| 1760008387 | Carilion Healthcare Corporation | Clinic/Center | 22890 Virgil H Goode Highway, Boones Mill, VA 24065 | 2020-06-19 |
| 1457840183 | Warren Memorial Hospital, Inc. | Clinic/Center | 315 W 10th St Ste 1, Front Royal, VA 22630-2812 | 2018-05-08 |
| 1154857019 | Bath County Community Hospital | Clinic/Center | 713 S Monroe Ave, Covington, VA 24426-1832 | 2017-05-11 |
| 1891154019 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 121 Stacy Dr, Pennington Gap, VA 24277-1929 | 2016-02-16 |
| 1366791972 | Free Clinic of Franklin County | Clinic/Center | 1171 Franklin Street, Rocky Mount, VA 24151 | 2012-08-29 |
| 1487818902 | St. Mary's Health Wagon | Clinic/Center | 233 Chase St., Clintwood, VA 24228 | 2008-07-14 |
| 1609054733 | Mountain States Health Alliance | Clinic/Center | 16431 Wise Street, Saint Paul, VA 24283-3537 | 2008-01-31 |
| 1013199322 | Page Memorial Hospital, Inc. | Clinic/Center | 505 Williams Ave, Shenandoah, VA 22849-1263 | 2007-11-28 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 23927 |
Please comment or provide details below to improve the information on COMMUNITY MEMORIAL HEALTHCENTER.
| 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.