CHESAPEAKE HOSPITAL LLC NPI 1932699303

NPI Information

NPI: 1932699303
Provider Name: CHESAPEAKE HOSPITAL LLC

Doing Business As: BON SECOURS LIVELY MEDICAL CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
36 LIVELY OAKS RD
LIVELY, VA
ZIP 22507
Phone: (804) 462-5155
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CHESAPEAKE HOSPITAL LLC is a rural health clinic center in Lively, VA. CHESAPEAKE HOSPITAL LLC NPI is 1932699303. The provider is registered as an organization entity type.
The provider Is Doing Business As Bon Secours Lively Medical Center.

The provider's business location address is:

36 LIVELY OAKS RD
LIVELY, VA
ZIP 22507
Phone: (804) 462-5155
Fax: (804) 462-5922

The provider's authorized official is Kimberly Ralston .
The authorized official title is System Director and has the following contact phone number (419) 996-5119.

The CLIA number assigned to this NPI record is 49D0225001 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2018 and was last updated on 9/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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