# BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ST. MARY'S HOSPITAL PET/CT CENTER AT REYNOLDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457997652
- **Authorized official:** KIMBERLY M RALSTON (DIRECTOR REIMBURSEMENT)
- **Authorized official phone:** (419) 996-5119

## Contact information

- **Practice address:** 6605 W BROAD ST, RICHMOND, VA 23230-1714
- **Practice address phone:** (804) 281-8180
- **Mailing address:** PO BOX 100767, ATLANTA, GA 30384-0767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 11/22/2019
- **Last updated:** 11/22/2019