# BON SECOURS MEDICAL GROUP RICHMOND PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861050635
- **Authorized official:** CASSIE LOWE (SYSTEM DIRECTOR, PAYER DELEGATION &)
- **Authorized official phone:** (513) 952-5210

## Contact information

- **Practice address:** 8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
- **Practice address phone:** (804) 627-5573
- **Practice address fax:** (866) 449-0896
- **Mailing address:** 4600 MCAULEY PL STE 600, BLUE ASH, OH 45242-4778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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