Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bon Secours Mercy Health Petersburg LLC

Organization General Acute Care Hospital · NPI 1720623853

Bon Secours Mercy Health Petersburg LLC is a General Acute Care Hospital in Petersburg, Virginia. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone: (804) 765-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X

Record details

NPI number1720623853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Ralston — System Director · (419) 996-5119
Other names Bon Secours - Southside Medical Center; Southside Regional Medical Center
NPI enumeratedNovember 13, 2019
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020
Mailing addressPo Box 639859, Cincinnati, OH 45263-9859

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