# BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC
- **Other names:** Bon Secours Capitol OB/GYN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912209149
- **Legal business name:** BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC
- **Authorized official:** STEPHAN QUIRICONI (CFO)
- **Authorized official phone:** (804) 281-8301

## Contact information

- **Practice address:** 1510 N 28TH ST, SUITE 305, RICHMOND, VA 23223-5311
- **Practice address phone:** (804) 371-1689
- **Practice address fax:** (804) 371-1678
- **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 | — | VA | Yes |

## Other

- **Enumeration date:** 11/19/2010
- **Last updated:** 07/10/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C06115 | GROUP PTAN | VA |