Organization
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC
Active
Parent organization
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC
Other names
Bon Secours Behavioral Health Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
1510 N 28TH ST, MOB, SUITE 101, RICHMOND, VA 23223-5311
(804) 371-1670
(804) 371-1671
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06115
GROUP PTAN
VA
Enumeration date
03/15/2011
Last updated
07/11/2019
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