| Bon Secours Lively Medical Center | |
|
36 Lively Oaks Rd Lively VA 22507 | |
| (804) 462-5155 | |
| (804) 462-5922 |
| Full Name | Bon Secours Lively Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 36 Lively Oaks Rd, Lively, Virginia |
| Authorized Official Name and Position | Kimberly M Ralston (DIRECTOR REIMBURSEMENT) |
| Authorized Official Contact | 4199965119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Lively Medical Center 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: (804) 627-5573 | Bon Secours Lively Medical Center 36 Lively Oaks Rd Lively VA 22507 Ph: (804) 462-5155 |
| NPI Number | 1043700347 |
|---|---|
| Provider Enumeration Date | 05/14/2018 |
| Last Update Date | 11/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043700347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Chesapeake Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 Lively Oaks Road, Lively, VA 22507 Phone: 804-462-5155 Fax: 804-462-5922 | |
Bon Secours Lively Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 36 Lively Oaks Rd, Lively, VA 22507 Phone: 804-462-5155 Fax: 804-462-5922 |