Organization
BON SECOURS-VIRGINIA HEALTHSOURCE
Active
Organization
BON SECOURS-VIRGINIA HEALTHSOURCE
Active
Parent organization
BON SECOURS-VIRGINIA HEALTHSOURCE
Other names
West End Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS-VIRGINIA HEALTHSOURCE
Authorized official
GEORGE O BUTLER MBA (DIRECTOR, CORPORATE RESPONSIBILITY)
(804) 281-0271
Entity
Organization
Contact information
Practice address
7001 FOREST AVE, SUITE 2500, RICHMOND, VA 23230
(804) 282-7857
(804) 282-7899
Mailing address
7001 FOREST AVE, SUITE 2500, RICHMOND, VA 23230-1724
(804) 282-7857
(804) 282-7899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG5286
RAILROAD MEDICARE
VA
Enumeration date
07/09/2006
Last updated
07/27/2018
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