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BON SECOURS LIVELY MEDICAL CENTER
NPI 1043700347
Family Medicine in Lively, VA

Active since May 14, 2018CLIA 49D0225001 · Waiver
36 LIVELY OAKS RD, LIVELY, VA 22507(804) 462-5155(804) 462-5922 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2020, May 30, 2019, May 14, 2018 (3 updates tracked since 2018).

About Bon Secours Lively Medical Center NPPES

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

BON SECOURS LIVELY MEDICAL CENTER (NPI 1043700347) is a healthcare organization registered as a family medicine in Lively, Virginia and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists Kimberly M Ralston, Director Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1043700347
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHESAPEAKE HOSPITAL LLC
Location Address36 LIVELY OAKS RDLively, VA 22507
Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · (804) 627-5573 · Fax (866) 449-0896
Phone(804) 462-5155
Fax(804) 462-5922
Organization SubpartNo
Authorized OfficialKimberly M RalstonDirector Reimbursement · (419) 996-5119
Enumeration DateMay 14, 2018
Last NPPES UpdateNovember 20, 20203 updates tracked since enumeration
NPPES CertifiedNovember 20, 2020
✔ NPI 1043700347 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.
36 LIVELY OAKS RD, Lively, VA 22507
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Other Names 1

Doing Business AsBon Secours Lively Medical Center

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 49D0225001

Bon Secours Lively Medical Center · Lively, VA
Active · expires Oct 5, 2026
CLIA Number49D0225001
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorJoseph Bessler
Laboratory Phone(804) 462-5155
Laboratory LocationBon Secours Lively Medical Center36 Lively Oak Road, Lively, VA 22507
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

LIVELY DRUG COMPANY INC
Pharmacy (Community/Retail Pharmacy)
36 LIVELY OAKS RD, STATE RT 3
LIVELY, VA 22507
Lancaster County (804) 462-5644
DR. SALVATORE KARL BAVUSO M.D.
Family Medicine
36 LIVELY OAKS RD
LIVELY, VA 22507
Lancaster County (804) 462-5155
CHESAPEAKE HOSPITAL LLC
Clinic/Center (Rural Health)
36 LIVELY OAKS RD
LIVELY, VA 22507
Lancaster County (804) 462-5155

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 LLC's NPI number?

The NPI number for Chesapeake Hospital LLC is 1043700347. It was assigned to this organization in the NPPES registry on May 14, 2018. The provider is doing business as Bon Secours Lively Medical Center.

Where is Chesapeake Hospital LLC located?

Chesapeake Hospital LLC is located at 36 Lively Oaks Rd, Lively, VA 22507. The listed phone number is (804) 462-5155.

What is Chesapeake Hospital LLC's specialty?

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

Does Chesapeake Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0225001) 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 LLC was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.