BON SECOURS MERCY HEALTH PETERSBURG LLC
NPI 1710562723
Clinic/Center - Emergency Care in Colonial Heights, VA
NPI Status: Active since March 11, 2021
Contact Information
60 E ROSLYN CT
COLONIAL HEIGHTS, VA
ZIP 23834
Phone: (804) 765-6700
- Organization
- Clinic/Center
- Emergency Care
- CLIA Number: 49D2278903
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-26-2027
About BON SECOURS MERCY HEALTH PETERSBURG LLC
This page provides the complete NPI Profile along with additional information for Bon Secours Mercy Health Petersburg Llc, a provider established in Colonial Heights, Virginia operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1710562723 assigned on March 2021. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Kimberly M Ralston (System Director)
- NPI
- 1710562723
- Provider Name
- BON SECOURS MERCY HEALTH PETERSBURG LLC
- Entity Type
- Organization
- Location Address
- 60 E ROSLYN CT COLONIAL HEIGHTS, VA 23834
- Location Phone
- (804) 765-6700
- Mailing Address
- PO BOX 639859 CINCINNATI, OH 45263
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-11-2021
- Last Update Date
- 03-11-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Emergency Care
- Taxonomy Code
- 261QE0002X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D2278903
- Facility Type
- Physician Office
- Certificate Effective Date
- March 27, 2025
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- KOCHURANI PUTHUMANA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bon Secours Mercy Health Petersburg Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 5 | 6 | 2 | 7 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 10 | 6 | 4 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 1 + 0 + 6 + 4 + 7 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1710562723 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710562723, enumerated in the NPI registry as an "organization" on March 11, 2021
The provider is located at 60 E Roslyn Ct Colonial Heights, Va 23834 and the phone number is (804) 765-6700
This medical organization specializes in Clinic/Center with taxonomy code 261QE0002X with a focus in Emergency Care
The provider's CLIA number is 49D2278903 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 11, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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