OrganizationActive
Petersburg Hospital Company LLC
NPI 1104899319 · General Acute Care Hospital · Petersburg, VA
Provider details
- NPI number
- 1104899319
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Paula Lalor, Director/Delegated Official(615) 925-4565
- License
- H1905 (VA)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Medical Park Blvd
Petersburg, VA 23805
Phone: (804) 765-5000
Fax: (804) 765-5962
Street-level locationGet directions
Mailing address
Po Box 501128
Saint Louis, MO 63150-1128
Other names (DBA / former)
- Doing business as
- Southside Regional Medical Center
Registry dates
- Enumerated
- 2006-02-08
- Last updated
- 2017-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.