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Organization
BON SECOURS ST. FRANCIS MEDICAL CENTER LLC
Active
Organization
BON SECOURS ST. FRANCIS MEDICAL CENTER LLC
Active
Parent organization
BON SECOURS ST. FRANCIS MEDICAL CENTER LLC
Other names
Bon Secours St. Francis Family Medicine Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS ST. FRANCIS MEDICAL CENTER LLC
Authorized official
KIMBERLY RALSTON (SYSTEM DIRECTOR)
(419) 996-5119
Entity
Organization
Contact information
Practice address
13540 HULL STREET RD, MIDLOTHIAN, VA 23112
(804) 739-6142
(804) 739-8923
Mailing address
PO BOX 639993, CINCINNATI, OH 45263-9993
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD8379
RAILROAD MEDICARE
VA
Enumeration date
07/09/2006
Last updated
10/05/2021
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