SOUTHSIDE REGIONAL MEDICAL CENTER - RENAL SERVICES
NPI 1174596084
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Petersburg, VA

Q: What is Petersburg Hospital Company LLC's NPI number?

The NPI number for Petersburg Hospital Company LLC is 1174596084. It was assigned to this organization in the NPPES registry on February 10, 2006. The provider is doing business as Southside Regional Medical Center - Renal Services.

Q: What is Petersburg Hospital Company LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Q: What quality rating does Petersburg Hospital Company LLC have?

CMS rates Us Renal Care Petersburg Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since February 10, 2006

3/5

Overall Rating

3335 S CRATER RD, PETERSBURG, VA 23805(804) 765-5261(804) 765-5869 Get Directions Write a Review

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

On this page

About Southside Regional Medical Center - Renal Services NPPES

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

SOUTHSIDE REGIONAL MEDICAL CENTER - RENAL SERVICES (NPI 1174596084) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Petersburg, Virginia and active in the NPI registry since February 2006. The organization lists Paula M Lalor, Director/delegated Official, as its authorized official.

NPPES Registry Identity

NPI1174596084

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NamePETERSBURG HOSPITAL COMPANY LLC

Location Address3335 S CRATER RDPetersburg, VA 23805-9214

Mailing Address200 Medical Park BlvdPetersburg, VA 23805-9274 · (804) 765-5261 · Fax (804) 765-5869

Phone(804) 765-5261

Fax(804) 765-5869

Organization SubpartNo

Authorized OfficialPaula M LalorDirector/delegated Official · (615) 925-4565

Enumeration DateFebruary 10, 2006

Last NPPES UpdateAugust 3, 2017

✔ NPI 1174596084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

License✔ Licensed in VA · H1905

3335 S CRATER RD, Petersburg, VA 23805

Open in Google Maps ↗

Other Names 1

Doing Business AsSouthside Regional Medical Center - Renal Services

Other Identifiers 2

Medicare OSCAR/certification492307VA

Other139944Bcbs

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Us Renal Care Petersburg Dialysis (CMS certification number 492684), from CMS Care Compare.

Us Renal Care Petersburg Dialysis

Dialysis facility · Petersburg, VA

3/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainUS Renal Care, Inc.

CMS Certification Number492684

ESRD NetworkNetwork 5

Hemodialysis Stations13

Medicare-Certified SinceMay 27, 2015

Location1964 S CRATER ROADPetersburg, VA 23805 · Petersburg City County

Phone(804) 733-3847

Services Offered

In-center hemodialysis

Other Providers at the Same Location NPPES 6

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

ROXANNE BRINKMAN PTA

Physical Therapy Assistant

3335 S CRATER RD
PETERSBURG, VA 23805

Petersburg City (804) 765-6660

HEMODIALYSIS ASSOC PC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

3335 S CRATER RD
PETERSBURY, VA 23805

Petersburg City (804) 862-5261

MICHAELA VARYS MD

Family Medicine

3335 S CRATER RD
PETERSBURG, VA 23805

Petersburg City (804) 765-5445

EMILY ASHLEY

Family Medicine

3335 S CRATER RD
PETERSBURG, VA 23805

Petersburg City (804) 765-5445

PETERSBURG HOSPITAL COMPANY LLC

Clinic/Center (Physical Therapy)

3335 S CRATER RD
PETERSBURG, VA 23805

Petersburg City (804) 862-5000

KELLY MARTIN

Physical Therapy Assistant

3335 S CRATER RD
PETERSBURG, VA 23805

Petersburg City (805) 201-5111

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 1174596084. It was assigned to this organization in the NPPES registry on February 10, 2006. The provider is doing business as Southside Regional Medical Center - Renal Services.

Where is Petersburg Hospital Company LLC located?

Petersburg Hospital Company LLC is located at 3335 S Crater Rd, Petersburg, VA 23805. The listed phone number is (804) 765-5261.

What is Petersburg Hospital Company LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is Petersburg Hospital Company LLC a Medicare-certified dialysis facility?

Yes. Us Renal Care Petersburg Dialysis is a Medicare-certified dialysis facility, certified since May 27, 2015.

What quality rating does Petersburg Hospital Company LLC have?

CMS rates Us Renal Care Petersburg Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality 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.