Organization
BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC
Active
Parent organization
BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC
Other names
Monument Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC
Authorized official
KIMBERLY M RALSTON (SYSTEM DIRECTOR)
(419) 996-5119
Entity
Organization
Contact information
Practice address
5855 BREMO RD, SUITE 102, RICHMOND, VA 23226-1926
(804) 673-2814
(804) 673-2873
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB6262
RAILROAD MEDICARE
VA
Enumeration date
07/08/2006
Last updated
10/05/2021
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