Bon Secours Mercy Health Franklin LLC
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Franklin, VA
NPI 1295370328 · NPPES record last updated Nov 23, 2020
Key facts
- NPI
- 1295370328
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- BON SECOURS MERCY HEALTH FRANKLIN LLC
- Practice address
- 100 Fairview Dr
Franklin, VA 23851-1238 - Phone
- (757) 569-6100
- NPI assigned
- Nov 13, 2019
- Organization subpart
- No
Authorized official
- Name
- Kimberly Ralston
- Title
- System Director
- Phone
- (419) 996-5119
Owners & managing parties with NPI records 2
-
John Earl Snellings, M.D.
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 3
Related certifications (CCN) 1
Facilities with the same owner 97
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Hospital certification: CCN 49U092
- Legal name
- BON SECOURS MERCY HEALTH FRANKLIN LLC
- Doing business as
- BON SECOURS SOUTHAMPTON MEMORIAL HOSPITAL
- Organization structure
- LLC · Non-profit
- Enrollment address
- 100 Fairview Dr
Franklin, VA 23851-1238 - Hospital subgroups
- Swing-bed approved
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Ann M Kirk |
Corporate Director |
Jan 1, 2025 | |
| Kevin Clark |
Corporate Director |
Jan 1, 2026 | |
| Angela Reddix |
Corporate Director |
Jan 1, 2026 | |
| Patricia Davis-Hagens |
Corporate Director |
Oct 18, 2021 | |
| David a Cannady |
Corporate Director |
Jan 1, 2023 | |
| Brian Yanofchick |
Corporate Director |
Jan 1, 2020 | |
| Bon Secours Mercy Health Inc |
5% Or Greater Indirect Ownership Interest | Jan 1, 2020 | 100% |
| John Starcher |
Other |
Jan 1, 2020 | |
| Dawn Glynn |
Corporate Director |
Jan 1, 2024 | |
| Bon Secours Hampton Roads Health System Inc |
5% Or Greater Direct Ownership Interest | Jan 1, 2020 | 100% |
| Corey McCray |
Corporate Director |
Jan 1, 2024 | |
| Raymond L McCue |
Corporate Director |
Jan 1, 2026 | |
| Teresa Beale |
Corporate Director |
Jan 1, 2022 | |
| Jonathan L Haynes |
Corporate Officer |
Jan 1, 2022 | |
| Corporate Director |
Jan 1, 2022 | ||
| W-2 Managing Employee |
Jan 1, 2022 | ||
| John E Snellings |
Corporate Director |
Jan 1, 2026 | |
| Cynthia C Romero |
Corporate Director |
Jan 1, 2020 | |
| Kimberly M Ralston |
W-2 Managing Employee |
Jan 1, 2020 | |
| Joy L Jefferson |
Corporate Director |
Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200110000550 | VA | Part a Provider - Hospital | 9436583242 | Practice locations: Franklin, VA |
National Provider Directory
- Tax ID family
- Bon Secours Mercy Health Franklin LLC
Locations
210 Fairview Dr
#B
Franklin, VA 23851
Phone (757) 569-6175
Interoperability endpoints
- https://carepath.health-partners.org/Proxy-FHIR/BBSHSI/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Yes |
Addresses
Primary practice location
100 Fairview Dr
Franklin, VA 23851-1238
Mailing address
PO Box 639857
Cincinnati, OH 45263-9857
Other names
- BON SECOURS - SOUTHAMPTON MEDICAL CENTER
Other providers in Franklin, VA
- Rodney L. Bland
- Blast Recovery Center
- Atorya Blow
- Blows in Home Healthcare LLC
- Bon Secours Medical Group Hampton Roads Specialty Care LLC
- Bon Secours Mercy Health Franklin LLC
- Bon Secours Mercy Health Franklin LLC
- Bon Secours Mercy Health Franklin LLC
- Ariana Bonnett
- Orga Marie Boone
All providers in Franklin, VA · Medicare Defined Swing Bed Hospital Unit in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.