NPIMap

Organization Active NPI

Bon Secours St Marys Hospital of Richmond LLC

Doing business as Bon Secours Critical Care Transport

  • Land Ambulance
  • Richmond, VA
National Provider Identifier
1124772470
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
BON SECOURS ST MARYS HOSPITAL OF RICHMOND LLC
Doing business as
Bon Secours Critical Care Transport
Practice address
5801 Bremo Rd
Richmond, VA 23226-1907
Phone
(804) 221-7174
NPI assigned
Feb 7, 2022
Last updated
Oct 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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 - Payor Admin
Phone
(419) 996-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

5801 Bremo Rd
Richmond, VA 23226-1907

Mailing address

PO Box 631683
Cincinnati, OH 45263-1683
Phone (419) 251-8515

Other names 1

  • BON SECOURS CRITICAL CARE TRANSPORT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220517000242 VA Part B Supplier - Ambulance Service Supplier 8527969476 Practice locations: Richmond, VA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bon Secours St Marys Hospital21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

920 S Main St
Blackstone, VA 23824
Phone (434) 292-7261

11601 Iron Bridge Rd
Ste 117
Chester, VA 23831
Phone (804) 521-9301

8260 Atlee Rd
Ste 225
Mechanicsville, VA 23116
Phone (804) 287-7650

8266 Atlee Rd
Ste 332
Mechanicsville, VA 23116
Phone (804) 325-8720

13710 St Francis Blvd
Ste 600
Midlothian, VA 23114
Phone (804) 764-6400

13710 St Francis Blvd
Ste 606
Midlothian, VA 23114
Phone (804) 764-6400

2366 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 285-6090

12720 McManus Blvd
#301
Newport News, VA 23602
Phone (804) 287-7650

12320 W Broad St
Ste 204
Richmond, VA 23233
Phone (804) 612-2980

2230 W Broad St
Ste 201
Richmond, VA 23220
Phone (804) 325-8812

2401 W Leigh St
#110
Richmond, VA 23220
Phone (804) 325-8812

5500 Monument Ave
Ste K
Richmond, VA 23226
Phone (804) 285-9800

5875 Bremo Rd
Ste 207
Richmond, VA 23226
Phone (804) 977-8914

5875 Bremo Rd
Ste 208
Richmond, VA 23226
Phone (804) 627-5005

5875 Bremo Rd
Ste 400A
Richmond, VA 23226
Phone (804) 281-8151

5875 Bremo Rd
Ste 605
Richmond, VA 23226
Phone (804) 893-8610

5875 Bremo Rd
Ste 611
Richmond, VA 23226
Phone (804) 281-8216

6605 W Broad St
Ste A1
Richmond, VA 23230
Phone (804) 281-8290

6900 Forest Ave
Ste 105
Richmond, VA 23230
Phone (804) 287-7284

7001 Forest Ave
Ste 103
Richmond, VA 23230
Phone (804) 285-6811

Practitioners & affiliated clinicians

Practitioners 152

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 152

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1124772470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631683",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631683",
            "telephone_number": "419-251-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 BREMO RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261907",
            "telephone_number": "804-221-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS ST MARYS HOSPITAL OF RICHMOND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR - PAYOR ADMIN",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BON SECOURS CRITICAL CARE TRANSPORT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BON SECOURS CRITICAL CARE TRANSPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.