NPIMap

Organization Active NPI

Chesapeake Hospital LLC

Doing business as Rappahannock General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Kilmarnock, VA
National Provider Identifier
1609226539
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
CHESAPEAKE HOSPITAL LLC
Doing business as
Rappahannock General Hospital
Practice address
101 Harris Rd
Kilmarnock, VA 22482-3880
Phone
(804) 435-8000
Fax
(804) 435-8543
NPI assigned
Jun 22, 2016
Last updated
Sep 22, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CHESAPEAKE HOSPITAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 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
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

101 Harris Rd
Kilmarnock, VA 22482-3880

Mailing address

PO Box 639991
Cincinnati, OH 45263-9991
Phone (804) 627-5573

Other names 1

  • RAPPAHANNOCK GENERAL HOSPITAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150413002462 VA Part A Provider - Critical Access Hospital 8921060427 1 other NPI on this enrollment
Practice locations: Kilmarnock, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609226539. Details of each certification follow.

Hospital certification: CCN 49Z308

Legal name
CHESAPEAKE HOSPITAL LLC
Doing business as
RAPPAHANNOCK GENERAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Apr 27, 1973 in VA
Enrollment address
101 Harris Rd
Kilmarnock, VA 22482-3880
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Chesapeake Hospital Corpxs7 organizations share this tax ID, including this one
Part of
Chesapeake Hospital Corpxs

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Jeffrey Szyperski Individual Corporate DirectorBoard Member Jan 1, 2024
Rebecca W McDonough Individual Corporate DirectorBoard Member Jan 1, 2025
Paula P Pando Individual Corporate DirectorBoard Member Jan 1, 2025
Robert Ukrop Individual Corporate DirectorBoard Member Jan 1, 2025
Wael N Haidar Individual Corporate DirectorBoard Member Jan 1, 2023
Osman Parvaiz Individual Corporate DirectorBoard Member Jan 1, 2025
Lang R Liebman Individual Corporate DirectorBoard Member Jan 1, 2022
James Carter Individual Corporate DirectorBoard Member Jan 1, 2025
Brian Yanofchick Individual Corporate DirectorBoard Member Jan 1, 2020
Bon Secours Mercy Health Inc Organization, Cincinnati, OH Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
John Starcher Individual Operational/Managerial ControlCho Admin Sep 1, 2018
Regina J Elbert Individual Corporate DirectorBoard Member Jan 1, 2022
Michael Quinones Individual Corporate DirectorBoard Member Jan 1, 2023
William Kusnierz Individual Corporate OfficerCfo Richmond MKT Sep 8, 2020
Corporate DirectorCfo Richmond MKT Sep 8, 2020
W-2 Managing EmployeeCfo Richmond MKT Sep 8, 2020
Mary Shimo Individual Corporate DirectorBoard Member Jan 1, 2023
Bon Secours Richmond LLC Organization, Cincinnati, OH LLC, Non-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2014 100%
Michael John Lutes Individual Corporate DirectorBoard Member Oct 1, 2022
Devon Henry Individual Corporate DirectorBoard Member Jan 1, 2024
Bon Secours - Richmond Health System Organization, Richmond, VA Non-profit 5% Or Greater Direct Ownership Interest Dec 31, 2014 100%
Kimberly M Ralston Individual W-2 Managing EmployeeVP Reimbursement Sep 1, 2018

Owners & managing parties with NPI records 1

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1609226539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639991",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639991",
            "telephone_number": "804-627-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HARRIS RD",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823880",
            "telephone_number": "804-435-8000",
            "fax_number": "804-435-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHESAPEAKE HOSPITAL LLC",
        "enumeration_date": "2016-06-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAPPAHANNOCK GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RAPPAHANNOCK GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kilmarnock, VA

Sources for this page

Verify at the official NPI Registry.