Organization
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER, INC.
Active
Parent organization
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
Other names
Bon Secours Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
Authorized official
PETER F. GALLAGHER (CFO)
(804) 281-8413
Entity
Organization
Contact information
Practice address
8580 MAGELLAN PKWY BLDG IV, RICHMOND, VA 23227-1149
(804) 627-5200
(804) 627-5196
Mailing address
8580 MAGELLAN PKWY BLDG IV, RICHMOND, VA 23227-1149
(804) 627-5200
(804) 627-5196
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004970268
—
VA
01
—
112070
GENTIVA
—
01
—
114614
ANTHEM
VA
01
—
189287
SOUTHERN HEALTH
—
01
—
2061877
AETNA
—
01
—
31931
CARENET
—
01
—
439597
MAMSI
—
01
—
44160MP
OPTIMA SENTARA
—
Enumeration date
04/05/2006
Last updated
04/07/2010
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