SOUTHSIDE REGIONAL MEDICAL CENTER - RENAL SERVICES
NPI 1174596084
Clinic/center, End-stage Renal Disease (esrd) Treatment in Petersburg,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 10, 2006

Contact Information

3335 S Crater Rd
Petersburg,
Post Code: 23805
Phone: (804) 765-5261
Fax: (804) 765-5869

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Southside Regional Medical Center - Renal Services in Petersburg - Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

Southside Regional Medical Center - Renal Services is a Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Petersburg, . Southside Regional Medical Center - Renal Services practices all healthcare services and medical treatments related to Clinic/Center, End-Stage Renal Disease (ESRD) Treatment. The NPI Number for Southside Regional Medical Center - Renal Services is 1174596084. The last update date is 2017-08-03.

Southside Regional Medical Center - Renal Services's current location address is 3335 S Crater Rd, Petersburg, . You can contact this provider via phone number (804) 765-5261 and fax number (804) 765-5869. The mailing address for Southside Regional Medical Center - Renal Services is 3335 S Crater Rd, Petersburg, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1174596084
Provider Legal Name
PETERSBURG HOSPITAL COMPANY LLC
Other Organization Name
SOUTHSIDE REGIONAL MEDICAL CENTER - RENAL SERVICES
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
3335 S Crater Rd, Petersburg,
Location Phone
(804) 765-5261
Location Fax
(804) 765-5869
Mailing Address
200 Medical Park Blvd, Petersburg, Virginia(VA)
Mailing Phone
804-765-5261
Mailing Fax
804-765-5869
Enumeration Date
2006-02-10
Last Update Date
2017-08-03
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
-
License No.
H1905
License State
Virginia (VA)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
139944 Other (non-Medicare) (01) () BCBS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174596084
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2114410912016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2114410912016
2 + 1 + 1 + 4 + 4 + 1 + 0 + 9 + 1 + 2 + 0 + 1 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4 4

The NPI number 1174596084 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134122161 RODRIGO C HURTADO
Individual
Allergy & Immunology 3450 N BEAUREGARD ST
ALEXANDRIA, Virginia (VA)
703-820-7000
1013910207 CORWIN LEE BROWER
Individual
Pharmacist 1010 PENDLETON ST
RADFORD, Virginia (VA)
540-639-5884
1134122138 PETER NEIL BRIELOFF
Individual
Podiatrist 14010 SMOKETOWN RD STE 103
WOODBRIDGE, Virginia (VA)
703-583-5959
1083617260 MARC BLATSTEIN
Individual
Podiatrist, Foot Surgery 1283 CARL D SILVER PKWY
FREDERICKSBURG, Virginia (VA)
1083617179 FRED MERKEL
Individual
Family Medicine PO BOX 9
KINGSPORT, Tennessee (TN)
423-857-2066