NPIMap

Organization Active NPI

Bon Secours St Francis Medical Center LLC

Doing business as Imaging at Chester

  • Radiology Clinic/Center
  • Chester, VA
National Provider Identifier
1063153179
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
BON SECOURS ST FRANCIS MEDICAL CENTER LLC
Doing business as
Imaging at Chester
Imaging at Westchester
Practice address
12021 Jefferson Davis Hwy Ste 100
Chester, VA 23831-2312
Phone
(804) 717-5300
NPI assigned
Apr 5, 2022
Last updated
Apr 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Kimberly M Ralston
Title
System Director
Phone
(419) 996-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

12021 Jefferson Davis Hwy Ste 100
Chester, VA 23831-2312

Mailing address

PO Box 639993
Cincinnati, OH 45263-9993

Other practice location 1

601 Watkins Centre Pkwy
Ste 100
Chester, VA 23831
Phone (804) 893-8440

Other identifiers 1

IdentifierTypeStateIssuer
1447212592MedicaidVA

Other names 2

  • IMAGING AT CHESTER Doing business as
  • IMAGING AT WESTCHESTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bon Secours St Francis Medical Center Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1063153179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639993",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 JEFFERSON DAVIS HWY STE 100",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238312312",
            "telephone_number": "804-717-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 WATKINS CENTRE PKWY",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "23831",
            "country_code": "US",
            "telephone_number": "804-893-8440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BON SECOURS ST FRANCIS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447212592",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMAGING AT CHESTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IMAGING AT WESTCHESTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IMAGING AT WESTCHESTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.