BON SECOURS LIVELY MEDICAL CENTER
NPI 1932699303
Clinic/Center - Rural Health in Lively, VA
NPI Status: Active since May 11, 2018
Contact Information
36 LIVELY OAKS RD
LIVELY, VA
ZIP 22507
Phone: (804) 462-5155
Fax: (804) 462-5922
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 49D0225001
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-05-2026
About BON SECOURS LIVELY MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Bon Secours Lively Medical Center, a primary care provider established in Lively, Virginia operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1932699303 assigned on May 2018. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Bon Secours Lively Medical Center. The authorized official of this NPI record is Kimberly Ralston (System Director)
- NPI
- 1932699303
- Provider Legal Name
- CHESAPEAKE HOSPITAL LLC
- Other Organization Name
- BON SECOURS LIVELY MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 36 LIVELY OAKS RD LIVELY, VA 22507
- Location Phone
- (804) 462-5155
- Location Fax
- (804) 462-5922
- Mailing Address
- PO BOX 639991 CINCINNATI, OH 45263
- Mailing Phone
- (804) 627-5573
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-11-2018
- Last Update Date
- 09-22-2020
- Code Navigator
A primary care provider (PCP) like Bon Secours Lively Medical Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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 Rural Health
- Taxonomy Code
- 261QR1300X
- 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
- 49D0225001
- Facility Type
- Physician Office
- Certificate Effective Date
- October 06, 2024
- Certificate Expiration Date
- October 05, 2026
- Laboratory Director
- JOSEPH BESSLER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bon Secours Lively Medical Center 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 | 9 | 3 | 2 | 6 | 9 | 9 | 3 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 6 | 2 | 12 | 9 | 18 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 6 + 2 + 1 + 2 + 9 + 1 + 8 + 3 + 0 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1932699303 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306945266 | LIVELY DRUG COMPANY INC Organization | Pharmacy (Community/Retail Pharmacy) | 36 LIVELY OAKS RD STATE RT 3 LIVELY, VA 22507 (804) 462-5644 |
| 1407835937 | DR. SALVATORE KARL BAVUSO M.D. Individual | Family Medicine | 36 LIVELY OAKS RD LIVELY, VA 22507 (804) 462-5155 |
| 1043700347 | CHESAPEAKE HOSPITAL LLC Organization | Family Medicine | 36 LIVELY OAKS RD LIVELY, VA 22507 (804) 462-5155 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932699303, enumerated in the NPI registry as an "organization" on May 11, 2018
The provider is located at 36 Lively Oaks Rd Lively, Va 22507 and the phone number is (804) 462-5155
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
The provider's CLIA number is 49D0225001 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 May 11, 2018. 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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