# BON SECOURS VIRGINIA MEDICAL GROUP I, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Urbanna Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639506538
- **Authorized official:** GEORGE BUTLER (DIRECTOR CORPORATE RESPONSIBILITY)
- **Authorized official phone:** (804) 281-0271

## Contact information

- **Practice address:** 390 VIRGINIA ST, SUITE A, URBANNA, VA 23175-9903
- **Practice address phone:** (804) 285-6020
- **Practice address fax:** (804) 758-2765
- **Mailing address:** 390 VIRGINIA ST, SUITE A, URBANNA, VA 23175-9903
- **Mailing address phone:** (804) 285-6020
- **Mailing address fax:** (804) 758-2765

## Taxonomy

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

## Other

- **Enumeration date:** 10/09/2013
- **Last updated:** 10/09/2013