# BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

> 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 Richmond OB-GYN at St. Mary's
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902327257
- **Authorized official:** STEPHEN QUIRICONI (CFO /TREASURER)
- **Authorized official phone:** (804) 281-8301

## Contact information

- **Practice address:** 1501 MAPLE AVE STE 100, RICHMOND, VA 23226-2553
- **Practice address phone:** (804) 320-2483
- **Practice address fax:** (804) 419-1860
- **Mailing address:** 8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
- **Mailing address phone:** (804) 627-5462
- **Mailing address fax:** (866) 449-0896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2017
- **Last updated:** 03/04/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C06778 | MEDICARE PTAN | VA |