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Organization Active NPI

Bon Secours Memorial Regional Medical Center LLC

Doing business as Bon Secours Memorial Regional Pro Fee Sevices

  • General Acute Care Hospital
  • Mechanicsville, VA
National Provider Identifier
1023028651
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1831 Issued in VA
Legal business name
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC
Doing business as
Bon Secours Memorial Regional Pro Fee Sevices
Practice address
8260 Atlee Rd
Mechanicsville, VA 23116-1844
Phone
(804) 594-3478
Fax
(804) 594-3155
NPI assigned
Aug 8, 2006
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cassie Lowe
Title
Director Payer Enrollment
Phone
(513) 952-5210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H1831 VA Primary

Addresses

Primary practice location

8260 Atlee Rd
Mechanicsville, VA 23116-1844

Mailing address

PO Box 639995
Cincinnati, OH 45263-9995

Other names 1

  • Bon Secours Memorial Regional Pro Fee Sevices Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040726000687 VA Part B Supplier - Clinic/Group Practice 6507775293 Receives reassigned benefits from 75 practitioners
26 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kilmarnock, VA; Glen Allen, VA; Richmond, VA; Mechanicsville, VA; King William, VA

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

National Provider Directory

National Provider Directory

Locations

430 Clairmont Ct
Ste 211
Colonial Hgts, VA 23834
Phone (804) 524-8904

8266 Atlee Rd
Ste 219
Mechanicsville, VA 23116
Phone (804) 594-3130

8220 Meadowbridge Rd
Ste 310
Mechanicsvlle, VA 23116
Phone (804) 417-0120

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1023028651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639995",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639995",
            "fax_number": "866-449-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 ATLEE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161844",
            "telephone_number": "804-594-3478",
            "fax_number": "804-594-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "DIRECTOR PAYER ENROLLMENT",
        "authorized_official_telephone_number": "513-952-5210"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H1831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Memorial Regional Pro Fee Sevices",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours Memorial Regional Pro Fee Sevices",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.