Organization
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC
Active
Other names
The Bon Secours Wound Care Center at Memorial Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
8237 MEADOWBRIDGE RD, MECHANICSVILLE, VA 23116-2329
(804) 893-8540
(804) 559-0225
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
H1831
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912969064
—
VA
Enumeration date
09/28/2011
Last updated
07/10/2019
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