Organization
COMMONWEALTH OF VIRGINIA CENTRAL STATE HOSPITAL
Active
Parent organization
CENTRAL STATE HOSPITAL
Other names
Central State Hopsital
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL STATE HOSPITAL
Authorized official
DR. CHARLES DAVIS (FACILITY DIRECTOR)
(804) 524-7000
Entity
Organization
Contact information
Practice address
26317 W WASHINGTON ST, PETERSBURG, VA 23803
(804) 524-7000
Mailing address
PO BOX 4030, PETERSBURG, VA 23803-0030
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49410701
—
VA
Enumeration date
09/05/2006
Last updated
08/01/2007
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