Southside Regional Medical Center – Community/Behavioral Health Agency, NPI 1164585576

Southside Regional Medical Center is a healthcare provider. based in St louis, Missouri. specializing in Community/Behavioral Health Agency. The NPI Number for Southside Regional Medical Center is 1164585576

Main info

Organization
Name
Southside Regional Medical Center
NPI
1164585576
Phone
(804) 765-5000
Address
PO BOX 501128
Authorized Official
PAULA M LALOR DIRECTOR/DELEGATED OFFICIAL
Enumeration Date
18 December 2006
Last Update Date
3 August 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Southside Regional Medical Center

  • PO BOX 501128

    ST LOUIS, MO 63150

    Phone: (804) 765-5000

    Fax: (804) 765-5962

    Type: Mailing

  • KFC, 3335, South Crater Road, Petersburg, Virginia, 23805, United States

    PETERSBURG, VA 23805

    Phone: (804) 765-5000

    Fax: (804) 765-5962

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63150)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Southside Regional Medical Center?
Southside Regional Medical Center — NPI 1164585576 — is the standard way to identify this listing.
Can I rely on Southside Regional Medical Center being an active provider?
As of the registry snapshot, Southside Regional Medical Center is marked active.
What taxonomy line describes Southside Regional Medical Center?
For research purposes, treat Southside Regional Medical Center as Community/Behavioral Health Agency in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Southside Regional Medical Center on a map?
Expect St Louis, Missouri as a primary anchor for Southside Regional Medical Center unless the record lists multiple sites.
Is the information about Southside Regional Medical Center up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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