Organization
BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC
Active
Parent organization
BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC
Other names
Cardiovascular Associates of Virginia - Bon Secours Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC
Authorized official
KIMBERLY M RALSTON (SYSTEM DIRECTOR)
(419) 996-5119
Entity
Organization
Contact information
Practice address
7001 FOREST AVE, SUITE 200, RICHMOND, VA 23230-1726
(804) 288-3123
(804) 282-3322
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09462
GROUP PTAN
VA
Enumeration date
12/09/2008
Last updated
10/05/2021
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