NPIMap

Organization Active NPI

Bon Secours-Virginia Healthsource, Inc.

  • Radiology Clinic/Center
  • Richmond, VA
National Provider Identifier
1447555115
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
B11007000 Issued in VA
Legal business name
BON SECOURS-VIRGINIA HEALTHSOURCE, INC.
Practice address
7110 Forest Ave Ste 100
Richmond, VA 23226-3762
Phone
(804) 673-4200
NPI assigned
Jan 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X B11007000 VA Primary

Addresses

Primary practice location

7110 Forest Ave Ste 100
Richmond, VA 23226-3762

Mailing address

PO Box 631030
Cincinnati, OH 45263-1030
Phone (513) 952-5002

Other names 1

  • Bon Secours West End MRI Doing business as

National Provider Directory

National Provider Directory

Locations

8550 Magellan Pkwy
Bldg Iv
Richmond, VA 23227

NPI Registry JSON

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": "1447555115",
    "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": "7110 FOREST AVE STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263762",
            "telephone_number": "804-673-4200"
        }
    ],
    "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": "B11007000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours West End MRI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours West End MRI",
            "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 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.