# BON SECOURS DEPAUL MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134137615
- **Authorized official:** KIMBERLY RALSTON (SYSTEM DIRECTOR)
- **Authorized official phone:** (419) 996-5119

## Contact information

- **Practice address:** 150 KINGSLEY LN, NORFOLK, VA 23505-4602
- **Practice address phone:** (757) 889-5000
- **Practice address fax:** (757) 889-5837
- **Mailing address:** PO BOX 639900, CINCINNATI, OH 45263-9900
- **Mailing address phone:** (804) 627-5462
- **Mailing address fax:** (866) 449-0896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | H 1829 | VA | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 08/27/2020