Organization
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Active
Other names
Bon Secours Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
8580 MAGELLAN PKWY, BLDG IV, RICHMOND, VA 23227-1149
(804) 627-5360
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
HSP-0606
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004910281
—
VA
01
—
2153255
AETNA
—
01
—
337451
ANTHEM
VA
01
—
4350
CIGNA
—
01
—
72-80004
UNITED HEALTHCARE
—
01
—
84464
SOUTHERN HEALTH
—
Enumeration date
04/04/2006
Last updated
03/14/2019
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