Organization
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC
Active
Parent organization
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC
Other names
Bon Secours Pediatrics of Mechanicsville
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
7347 BELL CREEK RD STE 100, MECHANICSVILLE, VA 23111-3504
(804) 730-4690
(804) 559-0333
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9892
MEDICARE PTAN
VA
Enumeration date
07/08/2006
Last updated
07/10/2019
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