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Organization
BON SECOURS MEDICAL GROUP RICHMOND PRIMARY CARE LLC
Active
Organization
BON SECOURS MEDICAL GROUP RICHMOND PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE LOWE (SYSTEM DIRECTOR, PAYER DELEGATION &)
(513) 952-5210
Entity
Organization
Contact information
Practice address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5573
(866) 449-0896
Mailing address
4600 MCAULEY PL STE 600, BLUE ASH, OH 45242-4778
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
NULL
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
251E00000X
Home Health Agency
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
06/05/2019
Last updated
03/11/2026
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