BON SECOURS MERCY HEALTH PETERSBURG LLC
NPI 1710562723
Clinic/Center - Emergency Care in Colonial Heights, VA

NPI Status: Active since March 11, 2021

Contact Information

60 E ROSLYN CT
COLONIAL HEIGHTS, VA
ZIP 23834
Phone: (804) 765-6700

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  • Organization
  • Clinic/Center
  • Emergency Care
  • CLIA Number: 49D2149873
  • CLIA Cert. Type: Other - FREE STANDING ED LAB
  • CLIA Exp. Date: 01-09-2027

About BON SECOURS MERCY HEALTH PETERSBURG LLC

This page provides the complete NPI Profile along with additional information for Bon Secours Mercy Health Petersburg Llc, a provider established in Colonial Heights, Virginia operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1710562723 assigned on March 2021. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Kimberly M Ralston (System Director)

NPI
1710562723
Provider Name
BON SECOURS MERCY HEALTH PETERSBURG LLC
Entity Type
Organization
Location Address
60 E ROSLYN CT COLONIAL HEIGHTS, VA 23834
Location Phone
(804) 765-6700
Mailing Address
PO BOX 639859 CINCINNATI, OH 45263
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-11-2021
Last Update Date
03-11-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Emergency Care

Taxonomy Code
261QE0002X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIMBERLY M RALSTON

Authorized Official Title
SYSTEM DIRECTOR
Authorized Official Phone
(419) 996-5119

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2149873
Facility Type
Other - FREE STANDING ED LAB
Certificate Effective Date
January 10, 2025
Certificate Expiration Date
January 09, 2027
Laboratory Director
DR. MARK A. WILLIAMS
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Bon Secours Mercy Health Petersburg Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710562723, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 5 → 10 → 1 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 1 + 0 + 6 + 4 + 7 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1710562723.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710562723, enumerated as an "organization" on March 11, 2021.

The provider is located at 60 E ROSLYN CT COLONIAL HEIGHTS, VA 23834 and the phone number is (804) 765-6700.

Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.