Bon Secours Mercy Health Petersburg LLC
NPI 1720623853 · General Acute Care Hospital · Petersburg, VA
Enrolled with Medicare as Part a Provider - Hospital · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bon Secours Mercy Health Petersburg LLC is a General Acute Care Hospital organization in Petersburg, VA (NPI 1720623853).
Provider details
- NPI number
- 1720623853
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Kimberly Ralston, System Director(419) 996-5119
Specialties & taxonomies
Hospitals
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bon Secours - Southside Medical Center
- Doing business as
- Southside Regional Medical Center
Registry dates
- Enumerated
- 2019-11-13
- Last updated
- 2020-11-23
- Certified
- 2020-11-23
Frequently asked questions
- What is Bon Secours Mercy Health Petersburg LLC's NPI number?
- Bon Secours Mercy Health Petersburg LLC's National Provider Identifier (NPI) is 1720623853, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bon Secours Mercy Health Petersburg LLC?
- Bon Secours Mercy Health Petersburg LLC is classified in the NPPES registry as General Acute Care Hospital (Hospitals).
- Where is Bon Secours Mercy Health Petersburg LLC located?
- Bon Secours Mercy Health Petersburg LLC's practice location on file with NPPES is 200 Medical Park Blvd, Petersburg, VA 23805-9274.
- What is Bon Secours Mercy Health Petersburg LLC's phone number?
- The practice phone number listed in the NPPES registry for Bon Secours Mercy Health Petersburg LLC is (804) 765-5000.
- Does Bon Secours Mercy Health Petersburg LLC accept Medicare?
- Bon Secours Mercy Health Petersburg LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bon Secours Mercy Health Petersburg LLC?
- The authorized official listed on Bon Secours Mercy Health Petersburg LLC's NPPES record is Kimberly Ralston, System Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bon Secours Mercy Health Petersburg LLC's NPI active?
- Yes — Bon Secours Mercy Health Petersburg LLC's NPI (1720623853) is active in the NPPES registry as of the last update on 2020-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.