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Contact Information

SOUTHERNCARE INC
3321 SOUTH CRATER ROAD
PETERSBURG, VA23805
 Phone: 804-732-5220
 Fax: 804-732-5227
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for SOUTHERNCARE INC

NPI Number 1508804279
LBN Legal business name SOUTHERNCARE INC
Authorized official MICHAEL PARSONS - (CEO PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/03/2006
Last updated 04/22/2009 - About 17 years ago
Identifiers
VA Medicaid 010298954
VA Other HSP-06127 STATE LICENSE NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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