CLARKSVILLE PRIMARY CARE CENTER
NPI 1487736864
Clinic/Center - Rural Health in Clarksville, VA

Active since October 19, 2006CLIA 49D0907155 · Waiver
61 BURLINGTON DR, CLARKSVILLE, VA 23927(434) 774-2400 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clarksville Primary Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARKSVILLE PRIMARY CARE CENTER (NPI 1487736864) is a healthcare organization registered as a rural health in Clarksville, Virginia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 9, 2026 and lists Elizabeth Allen, Vice President, as its authorized official.

NPPES Registry Identity

NPI1487736864
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCOMMUNITY MEMORIAL HEALTHCENTER
Location Address61 BURLINGTON DRClarksville, VA 23927-3235
Mailing AddressPo Box 1716Clarksville, VA 23927-1716 · (434) 774-2400
Organization SubpartNo
Authorized OfficialElizabeth AllenVice President · (804) 628-1338
Enumeration DateOctober 19, 2006
Last NPPES UpdateAugust 31, 2022
NPPES CertifiedAugust 31, 2022
NPI 1487736864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
61 BURLINGTON DR, Clarksville, VA 23927

Other Names 1

Doing Business AsClarksville Primary Care Center

Other Identifiers 1

Medicaid007610777VA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0907155

Clarksville Primary Care · Clarksville, VA
Active · expires Sep 9, 2026
CLIA Number49D0907155
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 10, 2024
Certificate Expiration DateSeptember 9, 2026
Laboratory DirectorKirk R. Hasenmueller
Laboratory Phone(434) 374-2773
Laboratory LocationClarksville Primary Care61 Burlington Drive, Clarksville, VA 23927
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
61 BURLINGTON DR
CLARKSVILLE, VA 23927

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Memorial Healthcenter's NPI number?

The NPI number for Community Memorial Healthcenter is 1487736864. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider is doing business as Clarksville Primary Care Center.

Where is Community Memorial Healthcenter located?

Community Memorial Healthcenter is located at 61 Burlington Dr, Clarksville, VA 23927. The listed phone number is (434) 774-2400.

What is Community Memorial Healthcenter's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Community Memorial Healthcenter hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0907155) is associated with this NPI, valid through September 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Memorial Healthcenter was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.