BON SECOURS LIVELY MEDICAL CENTER – NPI #1043700347
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BON SECOURS LIVELY MEDICAL CENTER is a provider located in LIVELY, VA. NPPES has assigned the NPI number 1043700347 to BON SECOURS LIVELY MEDICAL CENTER on May 14, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BON SECOURS LIVELY MEDICAL CENTER” is a dba name, the actual legal business name for this organization is CHESAPEAKE HOSPITAL LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Nov 20, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BON SECOURS LIVELY MEDICAL CENTER below.

NPI Profile for
CHESAPEAKE HOSPITAL LLC

NPI Number
1043700347
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHESAPEAKE HOSPITAL LLC
Doing Business As (dba): BON SECOURS LIVELY MEDICAL CENTER
Primary location
36 LIVELY OAKS RD
LIVELY, VA 22507
Phone: (804) 462-5155 Fax: (804) 462-5922
Mailing address
8580 MAGELLAN PKWY
RICHMOND, VA 23227-1149
Phone: (804) 627-5573 Fax: (866) 449-0896
Organization Subpart
No
Authorized Official
KIMBERLY RALSTON
DIRECTOR REIMBURSEMENT
Phone: (419) 996-5119
Updated
Certification Date
Nov 20, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.