Southside Pediatrics, P.C.

LBN: Southside Pediatrics, P.C.
Southside Pediatrics, P.C. is an health care organization with primary practice located at 502 Beech St , Farmville VA 23901-1222. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Southside Pediatrics, P.C. can be contacted via phone (434) 392-9438, or through Dionisio, Teresita via phone (434) 392-9438.

Contact Information

Primary practice address
502 Beech St Farmville VA 23901-1222
Phone: (434) 392-9438
Fax: (434) 392-7630
Website:
Map and Directions
Authorized official contact:
Name: Dionisio, Teresita Doctor of Medicine (MD)
Phone: (434) 392-9438

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 0101035421 Virginia

Profile Details

NPI number 1366525040
LBN Legal business name Southside Pediatrics, P.C.
DBA Doing business as
Authorized official Dionisio, Teresita Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Jun 9th, 2022 - about 3 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 1366525040 NPPES
Virginia MEDICAID 010018579
Virginia Other 081150
Virginia MEDICAID 006702767
Virginia Other 99161

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