Commonwealth of Virginia Central State Hospital

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

COMMONWEALTH OF VIRGINIA CENTRAL STATE HOSPITAL

Doing business as

Central State Hopsital

Practice address

26317 W Washington St
Petersburg, VA 23803

Phone

(804) 524-7000

NPI assigned

Sep 5, 2006

Last updated

Aug 1, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRAL STATE HOSPITALAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Davis

Title

Facility Director

Phone

(804) 524-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central State Hopsital Doing business as

Tax ID family

Commonwealth of VA CNTR2 organizations share this tax ID, including this one

Part of

Commonwealth of VA CNTR

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Commonwealth of Virginia Central State Hospital

  dba Central State Hospital

  • Hospitalist Physician
  • Petersburg, VA
  • NPI 1457415291
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1669574042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4030",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238030030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26317 W WASHINGTON ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "804-524-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA CENTRAL STATE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL STATE HOSPITAL",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "804-524-7000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49410701",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central State Hopsital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Commonwealth Foot and Ankle, Inc.
• Commonwealth OB-GYN, P.C.
• Commonwealth of VA Hiram W Davis Medical Center (Hiram W Davis Medical Center)
• Commonwealth of VA Hiram W Davis Medical Center (Hiram W Davis Medical Center)
• Commonwealth of Virginia Central State Hospital (Central State Hospital)
• Commonwealth of Virginia Hiram W Davis Medical Center (Hiram W Davis Medical Center)
• Commonwealth of Virginia Hiram W. Davis Medical Center (Hiram W. Davis Medical Center)
• Commonwealth of Virginia Southside VA Training Center
• Commonwealth of Virginia State Board of Health (Petersburg Health Department)
• Community Cardiology

• Psychiatric Hospital in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Psychiatric Hospital in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.