Organization
BON SECOURS ST. FRANCIS MEDICAL CENTER LLC
Active
Other names
Powhatan Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH HARDY (CFO)
(513) 869-5016
Entity
Organization
Contact information
Practice address
3452 ANDERSON HWY STE D, POWHATAN, VA 23139-5845
(804) 285-6050
(804) 598-2481
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
11/02/2011
Last updated
10/05/2021
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