Organization
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Active
Parent organization
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Other names
Commonwealth Gynecologic Oncology
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Authorized official
MR. GEORGE O. BUTLER MBA (DIRECTOR, CORPORATE RESPONSIBILITY)
(804) 281-0271
Entity
Organization
Contact information
Practice address
5875 BREMO RD, SUITE G-7, RICHMOND, VA 23226-1934
(804) 288-8900
(804) 282-9460
Mailing address
5875 BREMO RD, SUITE G-7, RICHMOND, VA 23226-1934
(804) 288-8900
(804) 282-9460
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
01
—
DD4648
RAILROAD MEDICARE
VA
Enumeration date
07/23/2006
Last updated
10/24/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us