Organization
BON SECOURS ST. FRANCIS MEDICAL CENTER LLC
Active
Other names
BON SECOURS IRONBRIDGE FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RALSTON (SYSTEM DIRECTOR)
(419) 996-5119
Entity
Organization
Contact information
Practice address
11601 IRON BRIDGE RD STE 117, CHESTER, VA 23831-1467
(804) 717-5300
(804) 748-7269
Mailing address
PO BOX 639993, CINCINNATI, OH 45263-9993
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
11/15/2011
Last updated
10/05/2021
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