Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Petersburg Hospital Company LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1174596084

Petersburg Hospital Company LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Petersburg, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3335 S Crater Rd
Petersburg, VA 23805-9214
Phone: (804) 765-5261
Fax: (804) 765-5869
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X · Licence H1905 (VA)

Record details

NPI number1174596084
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paula Lalor — Director/Delegated Official · (615) 925-4565
Other names Southside Regional Medical Center - Renal Services
NPI enumeratedFebruary 10, 2006
Last updated in NPPESAugust 3, 2017
Mailing address200 Medical Park Blvd, Petersburg, VA 23805-9274

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