institution
Bon Secours-st. Mary's Hospital Of Richmond, Inc.
Primary Care Clinic/Center in Richmond, Virginia
NPI 1124532239

Bon Secours-st. Mary's Hospital Of Richmond, Inc. is a Primary Care Clinic/Center based in Richmond, VA and is specialized in Primary Care. Bon Secours-st. Mary's Hospital Of Richmond, Inc. practices in Richmond, VA. The NPI Number for Bon Secours-st. Mary's Hospital Of Richmond, Inc. is 1124532239 and holds a License No. (Virginia).

The current practice location address for Bon Secours-st. Mary's Hospital Of Richmond, Inc. is 12320 W Broad St Ste 204, Richmond, VA and can be reached out via phone at 804-612-2980 and via fax at 804-762-7102. You can also correspond with Bon Secours-st. Mary's Hospital Of Richmond, Inc. through the mailing address at 8580 MAGELLAN PKWY, RICHMOND, VA - 23227-1149 (mailing address contact number: ).

Location: 12320 W Broad St Ste 204, Richmond, VA, 23227-1149
institution
Provider Profile Details
NPI Number
1124532239
Provider Name
Bon Secours-st. Mary's Hospital Of Richmond, Inc.
Credential
Provider Entity Type
Organization
Address
12320 W Broad St Ste 204, Richmond, VA, 23227-1149
Phone Number
804-612-2980
Fax Number
804-762-7102
Provider Enumeration Date
11/28/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C06778 01 VA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
12320 W Broad St Ste 204
City
State
Zip
23233
Phone Number
804-612-2980
Fax Number
804-762-7102
person
Provider Business Mailing Address Details
Address
12320 W Broad St Ste 204
City
State
Zip
23233
Phone Number
804-612-2980
Fax Number
804-762-7102
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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