| Bon Secours-st. Mary's Hospital Of Richmond, Inc. | |
|
5875 Bremo Rd Ste 104 Richmond VA 23226-1934 | |
| (804) 977-8915 | |
| (804) 288-1326 |
| Full Name | Bon Secours-st. Mary's Hospital Of Richmond, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5875 Bremo Rd Ste 104, Richmond, Virginia |
| Authorized Official Name and Position | Stephan Quiriconi (CFO) |
| Authorized Official Contact | 8042818301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours-st. Mary's Hospital Of Richmond, Inc. 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: () - | Bon Secours-st. Mary's Hospital Of Richmond, Inc. 5875 Bremo Rd Ste 104 Richmond VA 23226-1934 Ph: (804) 977-8915 |
| NPI Number | 1942598693 |
|---|---|
| Provider Enumeration Date | 07/15/2011 |
| Last Update Date | 08/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942598693 | NPI | - | NPPES |
| C06778 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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