Organization
BON SECOURS MERCY HEALTH PETERSBURG LLC
Active
Other names
BON SECOURS - SOUTHSIDE MEDICAL CENTER, SOUTHSIDE REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M RALSTON (SYSTEM DIRECTOR)
(419) 996-5119
Entity
Organization
Contact information
Practice address
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9274
(804) 765-5000
Mailing address
PO BOX 639859, CINCINNATI, OH 45263-9859
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/23/2020
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