Organization
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Active
Other names
St. Mary's Pediatric Intensive Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
5801 BREMO RD, ST MARY'S HOSPITAL PICU, RICHMOND, VA 23226
(804) 281-8222
(804) 281-8007
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336161710
NPI
—
01
—
1629096573
NPI
—
Enumeration date
07/26/2006
Last updated
08/30/2019
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