SOUTHSIDE REGIONAL MEDICAL CENTER – NPI #1245393685
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

SOUTHSIDE REGIONAL MEDICAL CENTER is an AHC clinic located in PETERSBURG, VA. NPPES has assigned the NPI number 1245393685 to SOUTHSIDE REGIONAL MEDICAL CENTER on December 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHSIDE REGIONAL MEDICAL CENTER” is a dba name, the actual legal business name for this organization is PETERSBURG HOSPITAL COMPANY LLC. The primary taxonomy selected by this provider is 261QP2000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Physical Therapy

The NPI profile was previously updated about 9 years ago on Aug 03, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHSIDE REGIONAL MEDICAL CENTER below.

NPI Profile for
PETERSBURG HOSPITAL COMPANY LLC

NPI Number
1245393685
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PETERSBURG HOSPITAL COMPANY LLC
Doing Business As (dba): SOUTHSIDE REGIONAL MEDICAL CENTER
Primary location
3335 S CRATER RD
PETERSBURG, VA 23805-9214
Phone: (804) 862-5000 Fax:
Mailing address
P O BOX 501128
ST LOUIS, MO 63150
Phone: (804) 765-5000 Fax: (804) 765-5962
Organization Subpart
No
Authorized Official
PAULA LALOR
DIRECTOR/DELEGATED OFFICIAL
Phone: (615) 925-4565
Updated
Identifiers

Identifiers for SOUTHSIDE REGIONAL MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEM BL CR BL SHVA138346
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2000X
- Clinic/Center / Physical Therapy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.