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 St. Mary's Hospital Wound Care Center at Reynolds Crossing
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND INC
Authorized official
GEORGE ODELL BUTLER (DIRECTOR OF CORP RESPONSIBILITY)
(804) 281-0271
Entity
Organization
Contact information
Practice address
6900 FOREST AVE, SUITE 115, RICHMOND, VA 23230-1701
(804) 893-8710
Mailing address
6900 FOREST AVE, SUITE 115, RICHMOND, VA 23230-1701
(804) 893-8710
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
H1833
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962464016
—
VA
Enumeration date
06/11/2012
Last updated
10/24/2018
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