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Organization
SOUTHSIDE COMMUNITY HOSPITAL, INC.
Active
Organization
SOUTHSIDE COMMUNITY HOSPITAL, INC.
Active
Other names
Centra Southside Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG DAVENPORT (CFO)
(434) 200-4708
Entity
Organization
Contact information
Practice address
800 OAK ST, FARMVILLE, VA 23901-1199
(434) 392-8811
(434) 315-2463
Mailing address
800 OAK ST, FARMVILLE, VA 23901-1199
(434) 392-8811
(434) 315-2463
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H1904
VA
Other
Enumeration date
09/14/2005
Last updated
01/27/2022
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