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CRATER CHILD DEVELOPMENT CLINIC
NPI 1164468823
Public Health or Welfare in Petersburg, VA

Active since June 21, 2006
2002 WAKEFIELD STREET, PETERSBURG, VA 23805(804) 862-6186(804) 862-6276 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crater Child Development Clinic NPPES

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

CRATER CHILD DEVELOPMENT CLINIC (NPI 1164468823) is a healthcare organization registered as a public health or welfare in Petersburg, Virginia and active in the NPI registry since June 2006. The organization lists Michael Owen Royster, District Health Director, as its authorized official.

NPPES Registry Identity

NPI1164468823
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameCRATER CHILD DEVELOPMENT CLINIC
Location Address2002 WAKEFIELD STREETPetersburg, VA 23805-2112
Mailing Address2002 Wakefield AvePetersburg, VA 23805-2112 · (804) 862-6186 · Fax (804) 862-6276
Phone(804) 862-6186
Fax(804) 862-6276
Organization SubpartNo
Authorized OfficialMichael Owen RoysterDistrict Health Director · (804) 863-1663
Enumeration DateJune 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164468823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
2002 WAKEFIELD STREET, Petersburg, VA 23805
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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 Crater Child Development Clinic's NPI number?

The NPI number for Crater Child Development Clinic is 1164468823. It was assigned to this organization in the NPPES registry on June 21, 2006.

Where is Crater Child Development Clinic located?

Crater Child Development Clinic is located at 2002 Wakefield Street, Petersburg, VA 23805. The listed phone number is (804) 862-6186.

What is Crater Child Development Clinic's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

When was this NPI record last updated?

The NPPES record for Crater Child Development Clinic was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.