Southside Community Nursing Home Inc

LBN: The Woodland Inc
Southside Community Nursing Home Inc is an health care organization with primary practice located at 2003 Cobb St , Farmville VA 23901-2603. 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. The Woodland Inc can be contacted via phone (434) 392-6106, or through Cole, Gregory C via phone (434) 392-6106.

Contact Information

Primary practice address
2003 Cobb St Farmville VA 23901-2603
Phone: (434) 392-6106
Fax: (434) 392-4736
Website:
Map and Directions
Authorized official contact:
Name: Cole, Gregory C
Phone: (434) 392-6106

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH2590 Virginia

Profile Details

NPI number 1497751879
LBN Legal business name The Woodland Inc
DBA Doing business as Southside Community Nursing Home Inc
Authorized official Cole, Gregory C
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2005
Last updated Mar 20th, 2009 - about 17 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 1497751879 NPPES
Virginia Other 000238527 ANTHEM OUTPATIENT
Virginia MEDICAID 4953398 ANTHEM OUTPATIENT
Virginia Other 215748 ANTHEM OUTPATIENT

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