Organization
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Active
Parent organization
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Other names
Bon Secours Pediatric Hospitalists
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Authorized official
MR. STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
5801 BREMO RD, ST MARY'S HOSPITAL PEDS HOSPITALISTS, RICHMOND, VA 23226-1907
(804) 281-8222
(804) 281-8007
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235173959
NPI
—
01
—
1497844682
NPI
—
01
—
1790994762
NPI
—
01
—
1922130681
NPI
—
Enumeration date
07/28/2006
Last updated
08/30/2019
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