BON SECOURS KILMARNOCK PRIMARY CARE
NPI 1003306358
Family Medicine in Kilmarnock, VA

Active since May 12, 2018CLIA 49D0224990 · Waiver
402 N MAIN ST, KILMARNOCK, VA 22482(804) 435-2651(804) 435-2302 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2019, May 12, 2018 (2 updates tracked since 2018).

About Bon Secours Kilmarnock Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BON SECOURS KILMARNOCK PRIMARY CARE (NPI 1003306358) is a healthcare organization registered as a family medicine in Kilmarnock, Virginia and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists Stephan Quiriconi, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003306358
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHESAPEAKE HOSPITAL CORPORATION
Location Address402 N MAIN STKilmarnock, VA 22482
Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · (804) 627-5573 · Fax (866) 449-0896
Fax(804) 435-2302
Organization SubpartNo
Authorized OfficialStephan QuiriconiCfo · (804) 281-8301
Enumeration DateMay 12, 2018
Last NPPES UpdateMay 30, 20192 updates tracked since enumeration
NPI 1003306358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
402 N MAIN ST, Kilmarnock, VA 22482

Other Names 1

Doing Business AsBon Secours Kilmarnock Primary Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0224990

Bon Secours Kilmarnock Primary Care · Kilmarnock, VA
Active · expires Oct 5, 2026
CLIA Number49D0224990
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorMolly Banfield
Laboratory Phone(804) 435-2651
Laboratory LocationBon Secours Kilmarnock Primary Care402 North Main Street, Kilmarnock, VA 22482
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
402 N MAIN ST
KILMARNOCK, VA 22482
Family Medicine
402 N MAIN ST
KILMARNOCK, VA 22482

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chesapeake Hospital Corporation's NPI number?

The NPI number for Chesapeake Hospital Corporation is 1003306358. It was assigned to this organization in the NPPES registry on May 12, 2018. The provider is doing business as Bon Secours Kilmarnock Primary Care.

Where is Chesapeake Hospital Corporation located?

Chesapeake Hospital Corporation is located at 402 N Main St, Kilmarnock, VA 22482. The listed phone number is (804) 435-2651.

What is Chesapeake Hospital Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Chesapeake Hospital Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0224990) is associated with this NPI, valid through October 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chesapeake Hospital Corporation was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.