# BON SECOURS ST. FRANCIS MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** 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:** 1497788806
- **Legal business name:** BON SECOURS ST. FRANCIS MEDICAL CENTER LLC
- **Authorized official:** KIMBERLY RALSTON (SYSTEM DIRECTOR)
- **Authorized official phone:** (419) 996-5119

## Contact information

- **Practice address:** 13540 HULL STREET RD, MIDLOTHIAN, VA 23112
- **Practice address phone:** (804) 739-6142
- **Practice address fax:** (804) 739-8923
- **Mailing address:** PO BOX 639993, CINCINNATI, OH 45263-9993
- **Mailing address fax:** (866) 449-0896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 10/05/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DD8379 | RAILROAD MEDICARE | VA |