CENTRAL STATE HOSPITAL
NPI 1457415291
Hospitalist in Petersburg, VA

NPI Status: Active since December 19, 2006

Contact Information

26317 W WASHINGTON STREET
PETERSBURG, VA
ZIP 23803
Phone: (804) 524-7000

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  • Organization
  • Hospitalist
  • CLIA Number: 49D0230730
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-31-2026

About CENTRAL STATE HOSPITAL

This page provides the complete NPI Profile along with additional information for Central State Hospital, a provider established in Petersburg, Virginia operating as a Hospitalist. The healthcare provider is registered in the NPI registry with number 1457415291 assigned on December 2006. The practitioner's primary taxonomy code is 208M00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. Central State Hospital operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Central State Hospital. The authorized official of this NPI record is Charles Davis M.d. (Facility Director)

NPI
1457415291
Provider Legal Name
COMMONWEALTH OF VIRGINIA CENTRAL STATE HOSPITAL
Other Organization Name
CENTRAL STATE HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
26317 W WASHINGTON STREET PETERSBURG, VA 23803
Location Phone
(804) 524-7000
Mailing Address
PO BOX 4030 PETERSBURG, VA 23803
Mailing Phone
(804) 524-7373
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-19-2006
Last Update Date
08-30-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLES DAVIS M.D.

Authorized Official Title
FACILITY DIRECTOR
Authorized Official Phone
(804) 524-7373

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C02266MEDICARE PIN (08)VA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D0230730
Facility Type
Hospital
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
BRANDI P. JUSTICE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Central State Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457415291, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 8 + 1 + 1 + 0 + 2 + 1 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1457415291.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457415291, enumerated as an "organization" on December 19, 2006.

The provider is located at 26317 W WASHINGTON STREET PETERSBURG, VA 23803 and the phone number is (804) 524-7000.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.