Organization
PETERSBURG HOSPITAL COMPANY LLC
Active
Other names
Southside Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
3335 SOUTH CRATER ROAD, PETERSBURG, VA 23805
(804) 765-5000
(804) 765-5962
Mailing address
PO BOX 501128, ST LOUIS, MO 63150
(804) 765-5000
(804) 765-5962
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
442491
ANTHEM BCBS BEHAVIORAL
VA
Enumeration date
12/18/2006
Last updated
08/03/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us