Organization
COMMONWEALTH OF VIRGINIA CENTRAL STATE HOSPITAL
Active
Parent organization
CENTRAL STATE HOSPITAL
Other names
Central State Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL STATE HOSPITAL
Authorized official
CHARLES DAVIS M.D. (FACILITY DIRECTOR)
(804) 524-7373
Entity
Organization
Contact information
Practice address
26317 W WASHINGTON STREET, PETERSBURG, VA 23803
(804) 524-7000
Mailing address
PO BOX 4030, PETERSBURG, VA 23803-0030
(804) 524-7373
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
08/30/2007
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