SOUTHSIDE REGIONAL MEDICAL CENTER
NPI 1164585576
Community/Behavioral Health in Petersburg, VA

Active since December 18, 2006
3335 SOUTH CRATER ROAD, 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 1164585576) is a healthcare organization registered as a community/behavioral health in Petersburg, Virginia and active in the NPI registry since December 2006. The organization lists Paula M Lalor, Director/delegated Official, as its authorized official.

NPPES Registry Identity

NPI1164585576
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePETERSBURG HOSPITAL COMPANY LLC
Location Address3335 SOUTH CRATER ROADPetersburg, VA 23805
Mailing AddressPo Box 501128St Louis, MO 63150 · (804) 765-5000 · Fax (804) 765-5962
Fax(804) 765-5962
Organization SubpartNo
Authorized OfficialPaula M LalorDirector/delegated Official · (615) 925-4565
Enumeration DateDecember 18, 2006
Last NPPES UpdateAugust 3, 2017
NPI 1164585576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
3335 SOUTH CRATER ROAD, Petersburg, VA 23805

Other Names 1

Doing Business AsSouthside Regional Medical Center

Other Identifiers 1

Other442491VA · Anthem Bcbs Behavioral

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 1164585576. It was assigned to this organization in the NPPES registry on December 18, 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 3335 South Crater Road, 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 Community/Behavioral Health with taxonomy code 251S00000X.

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.