Organization
CHESAPEAKE HOSPITAL LLC
Active
Other names
Bon Secours Kilmarnock Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RALSTON (SYSTEM DIRECTOR)
(419) 996-5119
Entity
Organization
Contact information
Practice address
402 N MAIN ST, KILMARNOCK, VA 22482
(804) 435-2651
(804) 435-2302
Mailing address
PO BOX 639991, CINCINNATI, OH 45263-9991
(804) 627-5573
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
10/15/2020
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