Petersburg Clinic Company Llc

LBN: Petersburg Clinic Company Llc
Petersburg Clinic Company Llc is an health care organization with primary practice located at 200 Medical Park Blvd , Petersburg VA 23805-9274. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pain Medicine, Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Petersburg Clinic Company Llc can be contacted via phone (804) 765-5991, or through Brewer, Debbie via phone (877) 892-9813.

Contact Information

Primary practice address
200 Medical Park Blvd Petersburg VA 23805-9274
Phone: (804) 765-5991
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie
Phone: (877) 892-9813

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1881643617
LBN Legal business name Petersburg Clinic Company Llc
DBA Doing business as
Authorized official Brewer, Debbie
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Jun 30th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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