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Organization

BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

Active
Other names
Bon Secours Short Pump Emergency Center
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHAN QUIRCONI (CFO)
(804) 281-8301
Entity
Organization

Contact information

Practice address
12320 W BROAD ST STE 100, RICHMOND, VA 23233
(804) 287-7994
(804) 285-8327
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QE0002X
Emergency Care Clinic/Center
Primary
261QR0200X
Radiology Clinic/Center

Other

Enumeration date
02/22/2018
Last updated
08/30/2019
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