SOUTHSIDE REGIONAL MEDICAL CENTER – NPI #1770556862
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

SOUTHSIDE REGIONAL MEDICAL CENTER is a skilled nursing facility (SNF) located in PETERSBURG, VA. NPPES has assigned the NPI number 1770556862 to SOUTHSIDE REGIONAL MEDICAL CENTER on February 09, 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 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

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
1770556862
Enumeration Date

(more than 20 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
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Phone: (804) 765-5000 Fax: (804) 765-5962
Mailing address
PO BOX 501128
SAINT LOUIS, MO 63150-1128
Phone: Fax:
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
OTHERBCBS442492
MEDICAIDVA4451697
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
314000000X
- Skilled Nursing Facility (Primary)
VA H1905

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.