Organization
BON SECOURS DEPAUL MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RALSTON (SYSTEM DIRECTOR)
(419) 996-5119
Entity
Organization
Contact information
Practice address
150 KINGSLEY LN, NORFOLK, VA 23505-4602
(757) 889-5000
(757) 889-5837
Mailing address
PO BOX 639900, CINCINNATI, OH 45263-9900
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H 1829
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4900111
—
VA
Enumeration date
08/03/2006
Last updated
08/27/2020
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