# BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
- **Other names:** Bon Secours Home Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083676068
- **Legal business name:** BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
- **Authorized official:** PETER F. GALLAGHER (CFO)
- **Authorized official phone:** (804) 281-8413

## Contact information

- **Practice address:** 8580 MAGELLAN PKWY BLDG IV, RICHMOND, VA 23227-1149
- **Practice address phone:** (804) 627-5200
- **Practice address fax:** (804) 627-5196
- **Mailing address:** 8580 MAGELLAN PKWY BLDG IV, RICHMOND, VA 23227-1149
- **Mailing address phone:** (804) 627-5200
- **Mailing address fax:** (804) 627-5196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2006
- **Last updated:** 04/07/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004970268 | — | VA |
| 01 | — | 112070 | GENTIVA | — |
| 01 | — | 114614 | ANTHEM | VA |
| 01 | — | 189287 | SOUTHERN HEALTH | — |
| 01 | — | 2061877 | AETNA | — |
| 01 | — | 31931 | CARENET | — |
| 01 | — | 439597 | MAMSI | — |
| 01 | — | 44160MP | OPTIMA SENTARA | — |