# BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bon Secours St Mary's Hospital of Richmond Pro Fee Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528079753
- **Authorized official:** KIMBERLY M RALSTON (DIRECTOR REIMBURSEMENT)
- **Authorized official phone:** (419) 996-5119

## Contact information

- **Practice address:** 5801 BREMO RD, RICHMOND, VA 23226-1907
- **Practice address phone:** (804) 594-3478
- **Practice address fax:** (804) 594-3155
- **Mailing address:** PO BOX 28538, RICHMOND, VA 23228-8538
- **Mailing address phone:** (804) 594-3478
- **Mailing address fax:** (804) 594-3155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | H1833 | VA | Yes |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 11/24/2020