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Organization
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Active
Organization
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Active
Other names
Bon Secours Short Pump - Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
12320 W BROAD ST STE 100A, RICHMOND, VA 23233
(804) 287-7994
(804) 285-8327
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/22/2018
Last updated
08/30/2019
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