NPIMap

Organization Active NPI

Bon Secours-Richmond Community Hospital LLC

Doing business as Bon Secours Richmond Community Hospital Pro Fee Service

  • General Acute Care Hospital
  • Richmond, VA
National Provider Identifier
1659381895
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1832 Issued in VA
Legal business name
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC
Doing business as
Bon Secours Richmond Community Hospital Pro Fee Service
Practice address
1500 N 28TH St
Richmond, VA 23223
Phone
(804) 594-3478
Fax
(804) 594-3155
NPI assigned
Aug 9, 2006
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
William Kusnierz
Title
Cfo
Phone
(864) 282-4993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H1832 VA Primary

Addresses

Primary practice location

1500 N 28TH St
Richmond, VA 23223

Mailing address

PO Box 639992
Cincinnati, OH 45263-9992

Other names 1

  • Bon Secours Richmond Community Hospital Pro Fee Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325000466 VA Part B Supplier - Clinic/Group Practice 3274425459 Receives reassigned benefits from 62 practitioners
6 other NPIs on this enrollment
Practice locations: Richmond, VA; Midlothian, VA; Kilmarnock, VA; Charlottesville, VA; Mechanicsville, VA

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Bon Secours - Richmond Community Hospital Incorporated

Locations

601 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 325-8750

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

5875 Bremo Rd
Ste 712
Richmond, VA 23226
Phone (804) 285-9416

Practitioners & affiliated clinicians

Practitioners 64

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 64

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1659381895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639992",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N 28TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23223",
            "telephone_number": "804-594-3478",
            "fax_number": "804-594-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "KUSNIERZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-282-4993"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H1832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Richmond Community Hospital Pro Fee Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours Richmond Community Hospital Pro Fee Service",
            "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 13, 2022; 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.