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SOUTHSIDE REGIONAL MEDICAL CENTER
NPI 1104899319
General Acute Care Hospital in Petersburg, VA

Active since February 08, 2006CLIA 49D0230764 · Accreditation
2/5
Hospital Overall Rating
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805(804) 765-5000(804) 765-5962 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southside Regional Medical Center NPPES

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

SOUTHSIDE REGIONAL MEDICAL CENTER (NPI 1104899319) is a healthcare organization registered as a general acute care hospital in Petersburg, Virginia and active in the NPI registry since February 2006. The organization holds an CLIA Accreditation certificate valid through February 8, 2027 and lists Paula M Lalor, Director/delegated Official, as its authorized official.

NPPES Registry Identity

NPI1104899319
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NamePETERSBURG HOSPITAL COMPANY LLC
Location Address200 MEDICAL PARK BLVDPetersburg, VA 23805
Mailing AddressPo Box 501128Saint Louis, MO 63150-1128
Phone(804) 765-5000
Fax(804) 765-5962
Organization SubpartNo
Authorized OfficialPaula M LalorDirector/delegated Official · (615) 925-4565
Enumeration DateFebruary 8, 2006
Last NPPES UpdateAugust 3, 2017
✔ NPI 1104899319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in VA · H1905
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
200 MEDICAL PARK BLVD, Petersburg, VA 23805
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthside Regional Medical Center

Other Identifiers 9

Other138348Bcbs
Other442490Bc Al
Medicaid4900067NC
Other214643Southern Hlth Svc
Other442490Bcbs
Other311407Alliance
Medicaid4900677VA
Medicare OSCAR/certification490067VA
Other138348Mo2 Bc Al

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 Accreditation 49D0230764

Southside Regional Medical Center Dba Bon Secours Mercy Health Petersburg LLC · Petersburg, VA
Active · expires Feb 8, 2027
CLIA Number49D0230764
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Mark A. Williams
Laboratory Phone(804) 765-5028
Laboratory LocationSouthside Regional Medical Center Dba Bon Secours Mercy Health Petersburg LLC200 Medical Park Boulevard, Petersburg, VA 23805
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Bon Secours Southside Medical Center (CMS certification number 490067), from CMS Care Compare.

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS Overall Rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County · (804) 765-5000
Emergency services Birthing friendly Meaningful use of EHRs

Patient Experience

HCAHPS patient survey · Jan 2023 – Dec 2023
2/5 summary rating
Nurse communication
3/5
Doctor communication
2/5
Staff responsiveness
2/5
Communication about medicines
3/5
Discharge information
2/5
Care transition
2/5
Cleanliness
2/5
Quietness
3/5
Overall hospital rating
2/5
Recommend hospital
2/5
Star ratings summarize responses from patients surveyed after discharge, collected through the CMS HCAHPS program.

Complications & Deaths 18

Rate of complications for hip/knee replacement patients
Cases too small to report
Death rate for heart attack patients
11.9% No different than national
Death rate for COPD patients
10.1% No different than national
Death rate for heart failure patients
11.8% No different than national
Death rate for pneumonia patients
19.9% No different than national
Death rate for stroke patients
14.8% No different than national

Infections 5

Central Line Associated Bloodstream Infection (ICU + select Wards)
10 observed cases · 7.592 predicted · 8,490 patient days
1.317 No different than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)
4 observed cases · 7.01 predicted · 7,156 patient days
0.571 No different than national
SSI - Colon Surgery
8 observed cases · 2.433 predicted · 89 patient days
3.288 Worse than the national rate
MRSA Bacteremia
2 observed cases · 4.779 predicted · 64,021 patient days
0.418 No different than national
Clostridium Difficile (C.Diff)
12 observed cases · 41.395 predicted · 61,336 patient days
0.290 Better than the national benchmark

Unplanned Hospital Visits 13

Hospital return days for heart attack patients
250 days per 100 discharges
Hospital return days for heart failure patients
629 days per 100 discharges
Hospital return days for pneumonia patients
433 more days than average per 100 discharges
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)
506 No different than national
Rate of inpatient admissions for patients receiving outpatient chemotherapy
Cases too small to report
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy
Cases too small to report

Timely & Effective Care 17

Emergency department volume
High
Percentage of healthcare personnel who are up to date with COVID-19 vaccinations
10.2%
Healthcare workers given influenza vaccination
89%
Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better
132 minutes
Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better
207 minutes
Left before being seen
2%

Maternal Health 2

Elective Delivery
76%
Maternal Morbidity Structural Measure
Yes

Other Providers at the Same Location NPPES 20

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

SARAH LIGHT
Student in an Organized Health Care Education/Training Program
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 765-5000
DOUGLAS COHRS PA-C
Physician Assistant
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (703) 431-9975
SUDHA KODURU M.D.
Internal Medicine
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 765-5991
BRIAN WAYNE MCCAULEY PA-C
Physician Assistant
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 765-5000
DR. MICHAEL W CIESLINSKI M.D.
Emergency Medicine
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 765-5000
DR. BENJAMIN ROSS QUIGLEY MD
Emergency Medicine
200 MEDICAL PARK BLVD, EMERGENCY DEPARTMENT
PETESBURG, VA 23805
Petersburg City (804) 765-5000
MARIBEL K ABENIR CRNA-NP
Nurse Anesthetist, Certified Registered
200 MEDICAL PARK BLVD, SOUTHSIDE REGIONAL MEDICAL CENTER
PETERSBURG, VA 23805
Petersburg City (804) 765-5000
JULIANA NAW
Student in an Organized Health Care Education/Training Program
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 765-5000

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 Petersburg Hospital Company LLC's NPI number?

The NPI number for Petersburg Hospital Company LLC is 1104899319. It was assigned to this organization in the NPPES registry on February 8, 2006. The provider is doing business as Southside Regional Medical Center.

Where is Petersburg Hospital Company LLC located?

Petersburg Hospital Company LLC is located at 200 Medical Park Blvd, Petersburg, VA 23805. The listed phone number is (804) 765-5000.

What is Petersburg Hospital Company LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Petersburg Hospital Company LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 49D0230764) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Petersburg Hospital Company LLC a Medicare-certified hospital?

Yes. Bon Secours Southside Medical Center is a Medicare-certified hospital (Acute Care Hospitals). The hospital provides emergency services.

What quality rating does Petersburg Hospital Company LLC have?

CMS rates Bon Secours Southside Medical Center 2 out of 5 stars overall on Care Compare, based on measures of safety, patient experience and outcomes. The full measure detail is in the Hospital Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Petersburg Hospital Company LLC was last updated on August 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.