BON SECOURS MARY IMMACULATE HOSPITAL PRO FEE
NPI 1538535463
General Acute Care Hospital in Newport News, VA

Q: What is Mary Immaculate Hospital LLC's NPI number?

The NPI number for Mary Immaculate Hospital LLC is 1538535463. It was assigned to this organization in the NPPES registry on August 14, 2015. The provider is also known as Bon Secours Mary Immaculate Hospital Pro Fee.

Q: What is Mary Immaculate Hospital LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Active since August 14, 2015CLIA 49D0230071 · Accreditation

2 BERNARDINE DR, NEWPORT NEWS, VA 23602(757) 398-2208(757) 398-2004 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2020, May 20, 2019 (2 updates tracked since 2019).

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About Bon Secours Mary Immaculate Hospital Pro Fee NPPES

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

BON SECOURS MARY IMMACULATE HOSPITAL PRO FEE (NPI 1538535463) is a healthcare organization registered as a general acute care hospital in Newport News, Virginia and active in the NPI registry since August 2015. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Wilbur Gay, Cfo, as its authorized official.

NPPES Registry Identity

NPI1538535463

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NameMARY IMMACULATE HOSPITAL LLC

Location Address2 BERNARDINE DRNewport News, VA 23602-4404

Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · Fax (866) 449-0896

Phone(757) 398-2208

Fax(757) 398-2004

Organization SubpartYes

Authorized OfficialWilbur GayCfo · (864) 561-7672

Enumeration DateAugust 14, 2015

Last NPPES UpdateSeptember 21, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2020

✔ NPI 1538535463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

2 BERNARDINE DR, Newport News, VA 23602

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Other Names 1

Other NameBon Secours Mary Immaculate Hospital Pro Fee

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 Accreditation 49D0230071

Bon Secours Mary Immaculate Hospital · Newport News, VA

Active · expires Jan 2, 2027

CLIA Number49D0230071

Laboratory TypeHospital

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorDr. Jonathan Edwards

Laboratory Phone(757) 886-6463

Laboratory LocationBon Secours Mary Immaculate Hospital2 Bernardine Drive, Newport News, VA 23602

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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Other Providers at the Same Location NPPES 20

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

XIA LI

Hospitalist