Organization
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC
Active
Other names
Laburnum Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE LOWE (DIRECTOR PAYER ENROLLMENT)
(513) 952-5210
Entity
Organization
Contact information
Practice address
4620 S LABURNUM AVE, RICHMOND, VA 23231
(804) 226-2444
(804) 222-0458
Mailing address
PO BOX 639995, CINCINNATI, OH 45263-9995
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN5711
RAILROAD MEDICARE
VA
Enumeration date
07/08/2006
Last updated
04/24/2024
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