# BON SECOURS DEPAUL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BON SECOURS FASTCARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336520618
- **Authorized official:** KAREN A SMITH (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (757) 215-2784

## Contact information

- **Practice address:** 309 BATTLEFIELD BLVD S, CHESAPEAKE, VA 23322-5311
- **Practice address phone:** (757) 215-2777
- **Mailing address:** 7007 HARBOUR VIEW BLVD, SUITE 108, SUFFOLK, VA 23435-3657
- **Mailing address phone:** (757) 215-2784

## Taxonomy

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

## Other

- **Enumeration date:** 06/12/2015
- **Last updated:** 06/12/2015