BON SECOURS INTERNAL MEDICINE OF ASHLAND
NPI 1366475642
Internal Medicine in Ashland, VA
About Bon Secours Internal Medicine Of Ashland NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BON SECOURS INTERNAL MEDICINE OF ASHLAND (NPI 1366475642) is a healthcare organization registered as an internal medicine in Ashland, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 9, 2027 and lists Stephan Quiriconi, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bon Secours Internal Medicine Of Ashland is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Bon Secours Internal Medicine Of Ashland, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (20)
Mechanicsville, VA 23116
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 49D1104765
Bon Secours Internal Medicine Of Ashland · Ashland, VAFrequently 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 Bon Secours Memorial Regional Medical Center Inc's NPI number?
The NPI number for Bon Secours Memorial Regional Medical Center Inc is 1366475642. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Bon Secours Internal Medicine Of Ashland.
Where is Bon Secours Memorial Regional Medical Center Inc located?
Bon Secours Memorial Regional Medical Center Inc is located at 306 Ashcake Rd Ste C, Ashland, VA 23005. The listed phone number is (804) 798-9208.
What is Bon Secours Memorial Regional Medical Center Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Bon Secours Memorial Regional Medical Center Inc enrolled in Medicare?
Yes. Bon Secours Memorial Regional Medical Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bon Secours Memorial Regional Medical Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 6 Medicare specialties reassign their Medicare billing to Bon Secours Memorial Regional Medical Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (6), Nurse Practitioner (6) and Cardiovascular Disease (Cardiology) (4). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bon Secours Memorial Regional Medical Center Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D1104765) is associated with this NPI, valid through September 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bon Secours Memorial Regional Medical Center Inc was last updated on July 11, 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.
# Bon Secours Internal Medicine Of Ashland · NPI 1366475642
Internal Medicine organization in Ashland, Virginia. Organization record, active in the CMS NPPES registry since July 9, 2006.
## Identity
- **NPI:** 1366475642 (Entity type: Organization)
- **Enumerated:** July 9, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Bon Secours Memorial Regional Medical Center Inc
- **Organization subpart:** Yes (part of Bon Secours Memorial Regional Medical Center Inc)
- **Authorized official:** Stephan Quiriconi, CFO
## Practice location
- **Address:** 306 ASHCAKE RD STE C, Ashland, VA 23005-2323
- **Phone:** (804) 798-9208 · **Fax:** (804) 798-8108
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (6), Nurse Practitioner (6), Cardiovascular Disease (Cardiology) (4); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2019
- **Other identifiers:** Other CN8143 (VA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366475642) · Data from the CMS NPPES public registry.