Bon Secours-Virginia Healthsource, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

1212544 Issued in VA

Legal business name

BON SECOURS-VIRGINIA HEALTHSOURCE, INC.

Doing business as

Bon Secours Midlothian Imaging Center

Practice address

11525 Midlothian Tpke Ste 103
Richmond, VA 23235-4763

Phone

(804) 594-2550

NPI assigned

Jan 11, 2011

Last updated

Nov 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Ralston

Title

System Director

Phone

(419) 996-5119

Specialties & licenses 1

Addresses

Other names 1

• Bon Secours Midlothian Imaging Center Doing business as

Locations

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1356646004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631030",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631030",
            "telephone_number": "513-952-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 MIDLOTHIAN TPKE STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354763",
            "telephone_number": "804-594-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS-VIRGINIA HEALTHSOURCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "VA",
            "license": "1212544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Midlothian Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bon Secours-Virginia Healthsource (Bon Secours MedCare Center)
• Bon Secours-Virginia Healthsource (Parham Road Internal Medicine)
• Bon Secours-Virginia Healthsource Inc (Bon Secours Surgical Specialist at St Mary's Hospital)
• Bon Secours-Virginia Healthsource Inc (Primary Health Care Associates)
• Bon Secours-Virginia Healthsource, Inc. (Richmond Cardiology Consultants)
• Bon Secours-Virginia Healthsource, Inc. (Bon Secours West End MRI)
• Kanika K Bonaparte-Moore
• Sharon Bond-Loving, LCSW
• Elizabeth Catherine Wilck Bond, FNP-BC
• Katelyn Bond, LCSW

• Radiology Clinic/Center in Richmond, VA
• Providers in Richmond, VA by specialty
• Radiology Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.