NPIMap

Organization Active NPI

Harbour View Medical Center LLC

Doing business as Bon Secours Harbour View Medical Center

  • General Acute Care Hospital
  • Suffolk, VA
National Provider Identifier
1104658434
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HARBOUR VIEW MEDICAL CENTER LLC
Doing business as
Bon Secours Harbour View Medical Center
Practice address
1020 Bon Secours Dr
Suffolk, VA 23435-3931
Phone
(757) 673-5800
NPI assigned
Aug 15, 2024
Last updated
Jun 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Kimberly M Ralston
Title
VP Reimbursement
Phone
(419) 996-5119

Specialties & licenses 1

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

Addresses

Primary practice location

1020 Bon Secours Dr
Suffolk, VA 23435-3931

Mailing address

PO Box 632431
Cincinnati, OH 45263-2431

Other names 1

  • BON SECOURS HARBOUR VIEW MEDICAL CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250516002485 VA Part A Provider - Hospital 9739607383 Practice locations: Suffolk, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104658434. Details of each certification follow.

Hospital certification: CCN 490148

Legal name
HARBOUR VIEW MEDICAL CENTER LLC
Doing business as
BON SECOURS HARBOUR VIEW MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 23, 2025
Last certification
May 23, 2025
Beds
18
Ownership / control type
Private (not for profit)
Organization structure
LLCNon-profit
Enrollment address
1020 Bon Secours Dr
Suffolk, VA 23435-3930
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Bon Secours Harbour View Medical CenterCCN 490148 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0228394Harbour View Medical Center LLC1020 Bon Secours Drive, Suffolk, VA 23435AccreditationFeb 9, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7185 Harbour Towne Pkwy S
Ste 103
Suffolk, VA 23435
Phone (757) 541-1900

7185 Harbour Towne Pkwy S
Ste 108
Suffolk, VA 23435
Phone (757) 278-2200

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ann M Kirk Individual Corporate OfficerBoard Member May 6, 2025
Kevin Clark Individual Corporate DirectorBoard Member Jan 1, 2026
Angela Reddix Individual Corporate DirectorBoard Member Jan 1, 2026
Patricia Davis-Hagens Individual Corporate DirectorBoard Member May 6, 2025
David a Cannady Individual Corporate DirectorBoard Member May 6, 2025
Brian Yanofchick Individual Corporate DirectorBoard Member May 6, 2025
Bon Secours Mercy Health Inc Organization, Cincinnati, OH Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest May 6, 2025 100%
Dawn Glynn Individual Corporate DirectorBoard Member May 6, 2025
Bon Secours Hampton Roads Health System Inc Organization, Suffolk, VA Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
Corey McCray Individual Corporate DirectorBoard Member May 6, 2025
Raymond L McCue Individual Corporate DirectorBoard Member Jan 1, 2026
Teresa Beale Individual Corporate DirectorBoard Member May 6, 2025
Jonathan L Haynes Individual Corporate OfficerCfo Hampton Roads Market May 6, 2025
Corporate DirectorBoard Member May 6, 2025
W-2 Managing EmployeeCfo Hampton Roads Market May 6, 2025
John E Snellings Individual Corporate DirectorBoard Member Jan 1, 2026
Cynthia C Romero Individual Corporate DirectorBoard Member May 6, 2025
Kimberly M Ralston Individual W-2 Managing EmployeeVP Reimbursement May 6, 2025
Joy L Jefferson Individual Corporate DirectorBoard Member May 6, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 97

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 97

Practitioners & affiliated clinicians

Affiliated clinicians 357

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 357

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1104658434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632431",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BON SECOURS DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353931",
            "telephone_number": "757-673-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOUR VIEW MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP REIMBURSEMENT",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BON SECOURS HARBOUR VIEW MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.