# BON SECOURS ST. FRANCIS MEDICAL CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** BON SECOURS IRONBRIDGE FAMILY PRACTICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801173141
- **Authorized official:** KIMBERLY RALSTON (SYSTEM DIRECTOR)
- **Authorized official phone:** (419) 996-5119

## Contact information

- **Practice address:** 11601 IRON BRIDGE RD STE 117, CHESTER, VA 23831-1467
- **Practice address phone:** (804) 717-5300
- **Practice address fax:** (804) 748-7269
- **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 |

## Other

- **Enumeration date:** 11/15/2011
- **Last updated:** 10/05/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C09633 | GROUP PTAN | VA |