Southerncare Petersburg

LBN: Southerncare Inc
Southerncare Petersburg is an health care organization with primary practice located at 3321 South Crater Road , Petersburg VA 23805. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Southerncare Inc can be contacted via phone (804) 732-5220, or through Parsons, Michael J via phone (205) 868-4400.

Contact Information

Primary practice address
3321 South Crater Road Petersburg VA 23805
Phone: (804) 732-5220
Fax: (804) 732-5227
Website:
Map and Directions
Authorized official contact:
Name: Parsons, Michael J
Phone: (205) 868-4400

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X Virginia

Profile Details

NPI number 1508804279
LBN Legal business name Southerncare Inc
DBA Doing business as Southerncare Petersburg
Authorized official Parsons, Michael J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Apr 22nd, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508804279 NPPES
Virginia MEDICAID 010298954
Virginia Other HSP-06127

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