Southside Physician Network Llc
LBN: Southside Physician Network Llc
Southside Physician Network Llc is an health care organization with primary practice located at 436 Clairmont Ct Suite 105, Colonial Heights VA 23834. The organization recently has 12 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Speech, Language and Hearing Service Providers / Audiologist. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Southside Physician Network Llc can be contacted via phone (804) 765-5473, or through Austin, Joanne via phone (804) 765-5473.
Contact Information
Primary practice address
436 Clairmont Ct Suite 105
Colonial Heights VA 23834
Phone: (804) 765-5473
Fax: (804) 765-6490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | Virginia | |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | Virginia | |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ||
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | Virginia |
Profile Details
| NPI number | 1811146194 |
|---|---|
| LBN Legal business name | Southside Physician Network Llc |
| DBA Doing business as | |
| Authorized official | Austin, Joanne |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 11th, 2008 |
| Last updated | Nov 15th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811146194 | NPPES |
| Virginia | MEDICAID | 1811146194 |
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