# BON SECOURS ST FRANCIS MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bon Secours Richmond OB-GYN at St. Francis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003849381
- **Authorized official:** KIMBERLY M RALSTON (SYSTEM DIRECTOR)
- **Authorized official phone:** (419) 996-5119

## Contact information

- **Practice address:** 13700 ST FRANCIS BLVD STE 510, MIDLOTHIAN, VA 23114-3223
- **Practice address phone:** (804) 423-8462
- **Practice address fax:** (804) 423-8463
- **Mailing address:** 8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
- **Mailing address fax:** (866) 449-0896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 05/05/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C09633 | MEDICARE PTAN | VA |
| 01 | — | DD8379 | RAILROAD MEDICARE | VA |