| Organization Name: | PETERSBURG HOSPITAL LLC |
| NPI Number: | 1013070325 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL L BURTON (BUSINESS OFFICE DIR.) |
| Mailing Address: | 436 Clairmont Court Colonial Heights |
| State: | VA US |
| Postal Code: | 23834 |
| Phone Number: | 8048625000 |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 03/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |