NPI 1720623853 · live from the CMS NPI Registry
Bon Secours Mercy Health Petersburg LLC
General Acute Care Hospital in Petersburg, VA. National Provider Identifier 1720623853, active.
NPI record
| NPI | 1720623853 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | General Acute Care Hospital 282N00000X |
| Practice location | 200 Medical Park Blvd, Petersburg, VA 23805 |
| Practice phone | 804-765-5000 |
| Mailing address | Po Box 639859, Cincinnati, OH 45263 |
| Enumerated | November 13, 2019 |
| Last updated | November 23, 2020 |
| Authorized official | Kimberly Ralston, System Director |
| Other names | Bon Secours - Southside Medical Center; Southside Regional Medical Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Acute Care Hospital primary | 282N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.