Petersburg Hospital Company LLC
NPI #1174596084 in Petersburg, Virginia
Provider Information
- NPI Number
- 1174596084
- Entity Type
- Organization
- Organization Name
- Petersburg Hospital Company LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Feb 10, 2006
- Last Updated
- Aug 3, 2017
Practice Location
- Address
- 3335 S CRATER RD
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-9214
- Phone
- (804) 765-5261
Authorized Official
- Name
- PAULA M LALOR
- Title
- DIRECTOR/DELEGATED OFFICIAL
- Phone
- (615) 925-4565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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