Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
COMMONWEALTH OF VIRGINIA SOUTHSIDE VA TRAINING CENTER
Active
Organization
COMMONWEALTH OF VIRGINIA SOUTHSIDE VA TRAINING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOLLAND JR. M.D. (FACILITY DIRECTOR)
(804) 524-7537
Entity
Organization
Contact information
Practice address
26317 W. WASHINGTON STREET, PETERSBURG, VA 23803-0000
(804) 524-7537
Mailing address
PO BOX 4030, PETERSBURG, VA 23803-0030
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO2260
PHYSICIAN GROUP NUMBER
VA
Enumeration date
12/19/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up