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

Active since March 11, 2021CLIA 49D2149873 · Accreditation
60 E ROSLYN CT, COLONIAL HEIGHTS, VA 23834(804) 765-6700 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Bon Secours Mercy Health Petersburg Llc NPPES

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

BON SECOURS MERCY HEALTH PETERSBURG LLC (NPI 1710562723), doing business as Bon Secours - Colonial Height Emergency Care, is a healthcare organization registered as an emergency care in Colonial Heights, Virginia and active in the NPI registry since March 2021. The organization holds an CLIA Accreditation certificate valid through January 9, 2027 and lists Kimberly M Ralston, System Director, as its authorized official.

NPPES Registry Identity

NPI1710562723
Entity TypeOrganization
Primary Taxonomy261QE0002X
Legal Business NameBON SECOURS MERCY HEALTH PETERSBURG LLC
Location Address60 E ROSLYN CTColonial Heights, VA 23834-2980
Mailing AddressPo Box 639859Cincinnati, OH 45263-9859
Organization SubpartNo
Authorized OfficialKimberly M RalstonSystem Director · (419) 996-5119
Enumeration DateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
✔ NPI 1710562723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Emergency CareAmbulatory Health Care Facilities
Taxonomy Code261QE0002X
60 E ROSLYN CT, Colonial Heights, VA 23834

Other Names 1

Doing Business AsBon Secours - Colonial Height Emergency Care

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 49D2149873

Southside Emergency Care Ctr Of Colonial Hgts Dba Bon Secours Mercy Health Petersburg LLC · Colonial Heights, VA
Active · expires Jan 9, 2027
CLIA Number49D2149873
Laboratory TypeFree Standing Ed Lab
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorDr. Mark A. Williams
Laboratory Phone(804) 765-5028
Laboratory LocationSouthside Emergency Care Ctr Of Colonial Hgts Dba Bon Secours Mercy Health Petersburg LLC60 East Roslyn Court, Colonial Heights, VA 23834
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.

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 Bon Secours Mercy Health Petersburg LLC's NPI number?

The NPI number for Bon Secours Mercy Health Petersburg LLC is 1710562723. It was assigned to this organization in the NPPES registry on March 11, 2021. The provider is doing business as Bon Secours - Colonial Height Emergency Care.

Where is Bon Secours Mercy Health Petersburg LLC located?

Bon Secours Mercy Health Petersburg LLC is located at 60 E Roslyn Ct, Colonial Heights, VA 23834. The listed phone number is (804) 765-6700.

What is Bon Secours Mercy Health Petersburg LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Emergency Care, with taxonomy code 261QE0002X.

Does Bon Secours Mercy Health Petersburg LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 49D2149873) is associated with this NPI, valid through January 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 Mercy Health Petersburg LLC was last updated on March 11, 2021. 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.