Organization
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Active
Parent organization
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Other names
Bon Secours Palliative Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
8580 MAGELLAN PKWY, BUILDING IV - PALLIATIVE CARE SERVICES, RICHMOND, VA 23227-1149
(804) 627-5291
(804) 627-5360
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
01
—
DD4686
RAILROAD MEDICARE
VA
Enumeration date
07/17/2006
Last updated
08/30/2019
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