Organization
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC
Active
Other names
Hanover County and Bon Secours Good Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
8200 MEADOWBRIDGE RD STE 301, MECHANICSVILLE, VA 23116-2337
(804) 442-3750
(804) 559-8535
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06115
GROUP PTAN
VA
Enumeration date
07/16/2015
Last updated
07/11/2019
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