Provider Demographics
NPI:1003209818
Name:COMMUNITY MEDICAL CENTER
Entity Type:Organization
Organization Name:COMMUNITY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATIVE
Authorized Official - Prefix:MS
Authorized Official - First Name:HEDI
Authorized Official - Middle Name:
Authorized Official - Last Name:GEHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-538-0345
Mailing Address - Street 1:PO BOX 360
Mailing Address - Street 2:
Mailing Address - City:BLACKSTONE
Mailing Address - State:VA
Mailing Address - Zip Code:23824-0360
Mailing Address - Country:US
Mailing Address - Phone:434-538-0345
Mailing Address - Fax:434-538-0285
Practice Address - Street 1:920 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BLACKSTONE
Practice Address - State:VA
Practice Address - Zip Code:23824-2600
Practice Address - Country:US
Practice Address - Phone:434-538-0345
Practice Address - Fax:434-538-0285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-18
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty