# BON SECOURS-VIRGINIA HEALTHSOURCE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BON SECOURS-VIRGINIA HEALTHSOURCE
- **Other names:** Patterson Avenue Family Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427229939
- **Legal business name:** BON SECOURS-VIRGINIA HEALTHSOURCE
- **Authorized official:** MR. GEORGE O. BUTLER MBA (DIRECTOR, CORPORATE RESPONSIBILITY)
- **Authorized official phone:** (804) 281-0271

## Contact information

- **Practice address:** 9600 PATTERSON AVE, RICHMOND, VA 23229
- **Practice address phone:** (804) 741-6200
- **Practice address fax:** (804) 741-6213
- **Mailing address:** 9600 PATTERSON AVE, RICHMOND, VA 23229-6053
- **Mailing address phone:** (804) 741-6200
- **Mailing address fax:** (804) 741-6213

## Taxonomy

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

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 07/27/2018