Organization
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC
Active
Other names
Bon Secours Rheumatology Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KUSNIERZ (CFO)
(864) 282-4993
Entity
Organization
Contact information
Practice address
9602 PATTERSON AVE, RICHMOND, VA 23229
(804) 217-9601
(804) 217-9602
Mailing address
PO BOX 639992, CINCINNATI, OH 45263-9992
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G495
MEDICARE PTAN
VA
Enumeration date
04/16/2018
Last updated
10/13/2022
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