COMMUNITY MEMORIAL HEALTHCENTER CANCER AND SPECIALTY CARE CENTER – NPI #1053507681
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

COMMUNITY MEMORIAL HEALTHCENTER CANCER AND SPECIALTY CARE CENTER is a provider located in SOUTH HILL, VA. NPPES has assigned the NPI number 1053507681 to COMMUNITY MEMORIAL HEALTHCENTER CANCER AND SPECIALTY CARE CENTER on September 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMMUNITY MEMORIAL HEALTHCENTER CANCER AND SPECIALTY CARE CENTER” is a dba name, the actual legal business name for this organization is PRIVATE DIAGNOSTIC CLINIC, PLLC. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 4 years ago on May 13, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMUNITY MEMORIAL HEALTHCENTER CANCER AND SPECIALTY CARE CENTER below.

NPI Profile for
PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI Number
1053507681
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIVATE DIAGNOSTIC CLINIC, PLLC
Doing Business As (dba): COMMUNITY MEMORIAL HEALTHCENTER CANCER AND SPECIALTY CARE CENTER
Primary location
750 LOMBARDY ST
SOUTH HILL, VA 23970-2112
Phone: (434) 774-2417 Fax:
Mailing address
PO BOX 110566
DURHAM, NC 27709-5566
Phone: (919) 620-4855 Fax: (919) 620-4921
Organization Subpart
No
Authorized Official
CHRISTOPHER FREDERICK
CHIEF FINANCIAL OFFICER
Phone: (919) 613-7762
Updated
Certification Date
May 13, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.