Southside Regional Medical Center

LBN: Petersburg Hospital Company Llc
Southside Regional Medical Center is an health care organization with primary practice located at 200 Medical Park Blvd , Petersburg VA 23805. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Petersburg Hospital Company Llc can be contacted via phone (804) 765-5000, or through Lalor, Paula M via phone (615) 925-4565.

Contact Information

Primary practice address
200 Medical Park Blvd Petersburg VA 23805
Phone: (804) 765-5000
Fax: (804) 765-5962
Website:
Map and Directions
Authorized official contact:
Name: Lalor, Paula M
Phone: (615) 925-4565

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X H1905 Virginia

Profile Details

NPI number 1770556862
LBN Legal business name Petersburg Hospital Company Llc
DBA Doing business as Southside Regional Medical Center
Authorized official Lalor, Paula M
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2006
Last updated Aug 3rd, 2017 - about 9 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 1770556862 NPPES
Other 442492 BCBS
MEDICAID 4451697 BCBS

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