SOUTHSIDE REGIONAL MEDICAL CENTER
NPI 1770556862
Skilled Nursing Facility in Petersburg,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 9, 2006

Contact Information

200 Medical Park Blvd
Petersburg,
Post Code: 23805
Phone: (804) 765-5000
Fax: (804) 765-5962

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Southside Regional Medical Center in Petersburg - Skilled Nursing Facility

Southside Regional Medical Center is a Skilled Nursing Facility in Petersburg, . Southside Regional Medical Center practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Southside Regional Medical Center is 1770556862. The last update date is 2017-08-03.

Southside Regional Medical Center's current location address is 200 Medical Park Blvd, Petersburg, . You can contact this provider via phone number (804) 765-5000 and fax number (804) 765-5962. The mailing address for Southside Regional Medical Center is 200 Medical Park Blvd, Petersburg, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1770556862
Provider Legal Name
PETERSBURG HOSPITAL COMPANY LLC
Other Organization Name
SOUTHSIDE REGIONAL MEDICAL CENTER
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
200 Medical Park Blvd, Petersburg,
Location Phone
(804) 765-5000
Location Fax
(804) 765-5962
Mailing Address
Po Box 501128, Saint Louis, Missouri(MO)
Mailing Phone
Mailing Fax
-
Enumeration Date
2006-02-09
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

Skilled Nursing Facility

Taxonomy Code
314000000X
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
442492 Other (non-Medicare) (01) () BCBS
4451697 MEDICAID (05) Virginia (VA)

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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.
1770556862
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2714010512812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2714010512812
2 + 7 + 1 + 4 + 0 + 1 + 0 + 5 + 1 + 2 + 8 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2 2

The NPI number 1770556862 is valid because the calculated check digit 2 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
1215930243 ANDREW LLOYD VINCENT
Individual
Podiatrist, Foot & Ankle Surgery 650 CEDAR CREEK GRADE STE 108
WINCHESTER, Virginia (VA)
540-667-3338
1225031263 WILLIAM MICHAEL LYTH
Individual
Anesthesiology 856 J CLYDE MORRIS BLVD
NEWPORT NEWS, Virginia (VA)
757-594-4006
1134122161 RODRIGO C HURTADO
Individual
Allergy & Immunology 3450 N BEAUREGARD ST
ALEXANDRIA, Virginia (VA)
703-820-7000
1265435283 PETER EDWARD WILCOX
Individual
Optometrist 2652 GEORGE WASHINGTON MEMORIAL HWY
HAYES, Virginia (VA)
804-642-9800
1205839438 SCOTT A TRAPP
Individual
Dentist, General Practice 3832 HOUNDSTOOTH CT
RICHMOND, Virginia (VA)
804-387-3603