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SOUTHSIDE VIRGINIA TRAINING CENTER
NPI 1154330942
Intermediate Care Facility, Intellectual Disabilities in Petersburg, VA

Active since August 08, 2006
26317 WEST WASHINGTON STREET, PETERSBURG, VA 23803(804) 524-7209(804) 524-7228 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southside Virginia Training Center NPPES

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

SOUTHSIDE VIRGINIA TRAINING CENTER (NPI 1154330942) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Petersburg, Virginia and active in the NPI registry since August 2006. The organization lists John Alfred Holland, Facility Director, as its authorized official.

NPPES Registry Identity

NPI1154330942
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSOUTHSIDE VIRGINIA TRAINING CENTER
Location Address26317 WEST WASHINGTON STREETPetersburg, VA 23803
Mailing Address26317 West Washington StreetPetersburg, VA 23803 · (804) 524-7209 · Fax (804) 524-7228
Phone(804) 524-7209
Fax(804) 524-7228
Organization SubpartNo
Authorized OfficialJohn Alfred HollandFacility Director · (804) 524-7209
Enumeration DateAugust 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154330942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
26317 WEST WASHINGTON STREET, Petersburg, VA 23803
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Other Providers at the Same Location NPPES 5

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

DR. ANWAR KAMAL ABDULLAH MD
Internal Medicine
26317 WEST WASHINGTON STREET, CENTRAL STATE HOSPITAL
PETERSBURG, VA 23803
Dinwiddie County (804) 524-6540
NANCY CLAY COOK RPH
Pharmacist
26317 WEST WASHINGTON STREET
PETERSBURG, VA 23803
Dinwiddie County (804) 524-7188
LORI VAUGHAN MAZSURE
Pharmacist
26317 WEST WASHINGTON STREET
PETERSBURG, VA 23803
Dinwiddie County (804) 524-7744
DEBORAH GOODRICH COUSINS CPHT
Pharmacy Technician
26317 WEST WASHINGTON STREET
PETERSBURG, VA 23803
Dinwiddie County (804) 524-7346
DR. DAFFERLIN JUANITA BARNARD-DUPREE M.D.
Psychiatry & Neurology (Forensic Psychiatry)
26317 WEST WASHINGTON STREET, CENTRAL STATE HOSPITAL
PETERSBURG, VA 23803
Dinwiddie County (804) 524-4674

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 Southside Virginia Training Center's NPI number?

The NPI number for Southside Virginia Training Center is 1154330942. It was assigned to this organization in the NPPES registry on August 8, 2006.

Where is Southside Virginia Training Center located?

Southside Virginia Training Center is located at 26317 West Washington Street, Petersburg, VA 23803. The listed phone number is (804) 524-7209.

What is Southside Virginia Training Center's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Southside Virginia Training Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.