BON SECOURS - SOUTHSIDE MEDICAL CENTER
NPI 1720623853
General Acute Care Hospital in Petersburg, VA

NPI Status: Active since November 13, 2019

Contact Information

200 MEDICAL PARK BLVD
PETERSBURG, VA
ZIP 23805
Phone: (804) 765-5000

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  • Organization
  • General Acute Care Hospital

About BON SECOURS - SOUTHSIDE MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Bon Secours - Southside Medical Center, a provider established in Petersburg, Virginia operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1720623853 assigned on November 2019. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Bon Secours - Southside Medical Center. The authorized official of this NPI record is Kimberly M Ralston (System Director)

NPI
1720623853
Provider Legal Name
BON SECOURS MERCY HEALTH PETERSBURG LLC
Other Organization Name
BON SECOURS - SOUTHSIDE MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
200 MEDICAL PARK BLVD PETERSBURG, VA 23805
Location Phone
(804) 765-5000
Mailing Address
PO BOX 639859 CINCINNATI, OH 45263
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2019
Last Update Date
11-23-2020
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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

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
Taxonomy Description
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.

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

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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 1720623853, 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
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 2 → 4 6 → 12 → 3 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 1 + 2 + 2 + 6 + 8 + 1 + 0 + 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 1720623853.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Hospitalist
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Hospitalist
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Nurse Practitioner (Adult Health)
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Emergency Medicine
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Family Medicine
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Pathology (Anatomic Pathology & Clinical Pathology)
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Pathology (Anatomic Pathology & Clinical Pathology)
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Physician Assistant
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Anesthesiology
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Physician Assistant
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Anesthesiology
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Nurse Anesthetist, Certified Registered
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Pathology (Anatomic Pathology & Clinical Pathology)
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Nurse Anesthetist, Certified Registered
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Internal Medicine
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Anesthesiology
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Physician Assistant (Medical)
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Physician Assistant (Medical)
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Emergency Medicine
200 MEDICAL PARK BLVD, EMERGENCY DEPARTMENT
PETERSBURG, VA 23805
Anesthesiology
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720623853, enumerated as an "organization" on November 13, 2019.

The provider is located at 200 MEDICAL PARK BLVD PETERSBURG, VA 23805 and the phone number is (804) 765-5000.

General Acute Care Hospital with taxonomy code 282N00000X.