CENTRAL STATE HOSPITAL
NPI 1457415291
Hospitalist in Petersburg, VA

Active since December 19, 2006CLIA 49D0230730 · Waiver
26317 W WASHINGTON STREET, PETERSBURG, VA 23803(804) 524-7000 Get Directions Write a Review

NPPES record last updated: August 30, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central State Hospital NPPES

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

CENTRAL STATE HOSPITAL (NPI 1457415291) is a healthcare organization registered as a hospitalist in Petersburg, Virginia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Charles Davis, Facility Director, as its authorized official.

NPPES Registry Identity

NPI1457415291
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameCOMMONWEALTH OF VIRGINIA CENTRAL STATE HOSPITAL
Location Address26317 W WASHINGTON STREETPetersburg, VA 23803
Mailing AddressPo Box 4030Petersburg, VA 23803-0030 · (804) 524-7373
Organization SubpartYesParent: Central State Hospital
Authorized OfficialCharles DavisFacility Director · (804) 524-7373
Enumeration DateDecember 19, 2006
Last NPPES UpdateAugust 30, 2007
NPI 1457415291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
26317 W WASHINGTON STREET, Petersburg, VA 23803

Other Names 1

Doing Business AsCentral State Hospital

Other Identifiers 1

Medicare PINC02266VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Waiver 49D0230730

Central State Hospital · Petersburg, VA
Active · expires Aug 31, 2026
CLIA Number49D0230730
Laboratory TypeHospital
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBrandi P. Justice
Laboratory Phone(804) 524-7373
Laboratory LocationCentral State Hospital26317 W Washington Street, Petersburg, VA 23803
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Dentist
26317 W WASHINGTON STREET, BUILDING 110
PETERSBURG, VA 23803
Hospitalist
26317 W WASHINGTON STREET
PETERSBURG, VA 23803
Pharmacist
26317 W WASHINGTON STREET
PETERSBURG, VA 23803

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 Commonwealth Of Virginia Central State Hospital's NPI number?

The NPI number for Commonwealth Of Virginia Central State Hospital is 1457415291. It was assigned to this organization in the NPPES registry on December 19, 2006. The provider is doing business as Central State Hospital.

Where is Commonwealth Of Virginia Central State Hospital located?

Commonwealth Of Virginia Central State Hospital is located at 26317 W Washington Street, Petersburg, VA 23803. The listed phone number is (804) 524-7000.

What is Commonwealth Of Virginia Central State Hospital's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Does Commonwealth Of Virginia Central State Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0230730) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Commonwealth Of Virginia Central State Hospital was last updated on August 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.