Organization
BON SECOURS ST. FRANCIS MEDICAL CENTER, INC.
Active
Parent organization
BON SECOURS ST. FRANCIS MEDICAL CENTER, INC.
Other names
St. Joseph's Outreach Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS ST. FRANCIS MEDICAL CENTER, INC.
Authorized official
GEORGE O. BUTLER (DIR, CORPORATE RESPONSIBILITIES)
(804) 281-0271
Entity
Organization
Contact information
Practice address
8000 BROOK RD, RICHMOND, VA 23227-1306
(804) 612-7065
(804) 612-7066
Mailing address
8000 BROOK RD, RICHMOND, VA 23227-1306
(804) 612-7065
(804) 612-7066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
06/12/2009
Last updated
02/17/2012
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