# BON SECOURS-VIRGINIA HEALTHSOURCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bon Secours 24/7
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235500281
- **Authorized official:** KIMBERLY RALSTON (SYSTEM DIRECTOR)
- **Authorized official phone:** (419) 996-5119

## Contact information

- **Practice address:** 7229 FOREST AVE, SUITE 112, RICHMOND, VA 23226
- **Practice address phone:** (804) 281-0275
- **Practice address fax:** (804) 521-9344
- **Mailing address:** 7229 FOREST AVE, SUITE 112, RICHMOND, VA 23226-3765
- **Mailing address phone:** (804) 281-0275
- **Mailing address fax:** (804) 521-9344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 10/16/2015
- **Last updated:** 03/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C06695 | GROUP PTAN | VA |