Organization
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC
Active
Parent organization
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC
Other names
Bon Secours Internal Medicine of Ashland
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
306 ASHCAKE RD STE C, ASHLAND, VA 23005-2323
(804) 798-9208
(804) 798-8108
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN8143
RAILROAD MEDICARE
VA
Enumeration date
07/09/2006
Last updated
07/11/2019
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