Organization
BON SECOURS ST. FRANCIS MEDICAL CENTER INC
Active
Parent organization
BON SECOURS ST. FRANCIS MEDICAL CENTER INC
Other names
CHARTER COLONY FAMILY PRACTICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS ST. FRANCIS MEDICAL CENTER INC
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
13700 ST FRANCIS BLVD STE 302, MIDLOTHIAN, VA 23114-3222
(804) 423-5050
(804) 423-5048
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
10/14/2010
Last updated
07/18/2019
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